This application is for an individual or an individual and their spouse only. Privately owned businesses that file tax returns under the owner’s social security number should also use this form with the membership held in the owner’s name(s).
Married persons are not required to have a joint membership. Either spouse can have the membership in his/her name; however capital credits will be in the name of the member only.
Be sure to click the submit button at the end of the last page of this online form to send us your completed application. Our office must receive all of the completed forms and deposit (if required) before the electric service will be connected.
Heartland Rural Electric Cooperative, Inc.