Customer Information

This is the primary person or business financially responsible for the new account. This application must be completed in full before your account will be established. If you have questions about the Application for Service, please call Dawson Public Power District at 800-752-8305.

Name Add your name Social Security Number example 123-12-1234 Birthdate example 01/01/1970 Email Add a valid address Phone Your primary contact number Other Phone Your secondary contact number Employer Meter Number, if available example 25667 Drivers License # example H12312312 Drivers License State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Have you received service from DPPD before

Co-applicant Information

This person is also responsible for payment on the account.

Name Social Security Number example 123-12-1234 Birthdate example 01/01/1970

Mailing Address Information

Mailing address for the applicant.

Line 1 Line 2 City State Postal Code

Physical Address Information

Physical address for the service request.

Line 1 City State Name of the previous owner or tenant, if available Ownership Applicant owns property
Applicant rents property

Service Start Date

Start Date Date you want the service to start. I have read and agree with the Terms and Conditions.