New/Change Service Application

It is important that you contact Highline Electric Association and complete the appropriate contract prior to the date that you desire connection of electric service to ensure that your project is not delayed.  After submitting this form you will be contacted by Highline Electric to complete the application process.

Please fill out as much information as possible on the application below, including:

  • Service size
  • Information in all required* fields
  • All available information in addition to required fields
Application For
(residence, garage, calving barn, shop, barn, commercial bldg, etc.)
(If no address, please provide nearest cross streets and county)
(Example: SW-07-06-49. If unknown, please enter NA.)
Primary Contact Information
Have you ever had electric service from Highline Electric Association in your name?
Address
How would you like HEA to send your contract and membership information?
Would you like to sign up for AutoPay via bank draft?
Would you like to expedite the application process?
To expedite the process, please complete this form before clicking submit on this page. This link can also be found here and clicking the button to expedite the process.
Will this be a joint account?
Electrical Contractor

Facilities Description

Phase & Voltage
Choose from below:
Type of Construction
Choose from below:
Comments, description or other information about service needs:



By signing this form, I attest that I am the Highline Electric Association account holder or am authorized to make such inquiries and I authorize Highline Electric Association to notify me by phone calls (including calls to wireless numbers), text messaging, email, or fax, at the numbers designated above with important informational messages regarding my electric service as well as all collection purposes.  I understand that completion of this form does not take the place of a service contract with Highline Electric Association. By accepting these terms and conditions I confirm that these numbers belong to me and not to a family member or third party. I understand that I can revoke my consent at any time.
 
Name & Date
Unlimited number of files can be uploaded to this field.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.
Signature
Sign above