Electrical Service Contract Form-New Construction

Fill out the form below online or click here to download the form, or here if this is for a Business.

** If you choose to download the form, please fill out, scan and send to engineeringservices@missionvalleypower.org

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In accordance with Federal guidelines, we require a copy for each applicant: PHOTO ID(Required)

Drop files here or

Accepted file types: jpg, jpeg, gif, png, tiff, pdf, Max. file size: 20 MB.

Please upload a copy of driver's license or other photo ID for each applicant.

Request Date:(Required)

Meter No.

Account No.

Is this a Business Account?

Yes

Applicant Name(s) or Name of Business:(Required)

Mailing Address(Required)

Street Address City State ZIP Code

Net Metering

If you are installing Net Metering, please finish filling out this application, but be sure to CALL OUR OFFICE for more information on how to proceed: 406-883-7970

I hereby agree to enter into a contract with Mission Valley Power (“MVP”) on the following terms and conditions:

1. Applicant certifies that he/she is the Owner, Renter/Lessee, or Manager of the property located at:(Required)

Physical Street Address

Choose Here(Required)

Owner

Renter/Lessee

Manager

2. Security Deposit: $500.00 OR Excellent Credit Reference from your current Electric Utility for the last 12 months of service, OR prepay for $60 (must fill out prepay agreement).(Required)

3. General Connect/Transfer Fee or Reconnect Fee: $10.00 will be billed on your first month’s bill.

4. Rate Schedule

Existing Residential Area Light- $13.43/mo.
Residential: Basic Charge of $23.50/mo., $28.20/mo. for Prepay, Net Meters $28.50/mo.
Small General Services: Basic Charge of $23.50/mo., $28.20/mo. for Prepay, Net Meters $28.50/mo.
Large General Services Single-Phase: Basic Charge is $43.50/mo.
Large General Services Three-Phase: Basic Charge is $71.25/mo., Net Meters $79.50/mo.
Irrigation: Basic Charge of $15.00/mo.

Basic Charge applies to services that are billed with or without a meter

The Applicant consents to be bound by all the terms, conditions, fees and charges set forth above, by all provisions contained in MVP’s Operations Manual and federal regulations found at 25 C.F.R. Part 175 (including any revisions to the manual or regulations), and by applicable rate and fee schedules (that may change from time to time) available for review at MVP’s Pablo office.
The customer appeals process for individual customer complaints will begin with MVP’s Customer Service Manager. If the complaint cannot be resolved at this level, it will be passed on to the General Manager. If the General Manager reaffirms the utility decision to which the customer is objecting, the customer may take the complaint to the Consumer Council. If the customer takes the complaint to the Consumer Council, it is the responsibility of MVP to notify the Northwest Regional Office.

5. Do you intend to prepay?(Required)

Yes

Prepay Forms

If yes, please review the Prepay Policy Form and submit your Prepay Service Agreement.

Applicant (1) Name:(Required)

Applicant (1) Signature(Required)

Date (Appl 1):(Required)

Name of Business:(Required)

Business Manager or Owner:(Required)

Business Phone:(Required)

Email(Required)

Tax ID Options:(Required)

Federal ID #

SS #

Federal ID#:(Required)

SS Number:(Required)

Accounts Payable Contact:

Officer of Business(Required)

Date:(Required)

Signature of Business Officer (Authorized to Contract on Behalf of Business)(Required)

The Confederated Salish and Kootenai Tribes operate and manage the Bureau of Indian Affairs’ Flathead Agency Power division under the name “Mission Valley Power” pursuant to a contract authorized under the Indian Education and Self-Determination Act (25 U.S.C. 450f). MVP maintains its system records consistent with the federal Privacy Act (43 CFR Part 2, Subpart D). This information is being collected to determine the consumers’ electrical needs and will be used to determine consumption costs. Response to this request is required to obtain a benefit in accordance with 25 CFR 175. Failure to provide all or part of this information may preclude MVP from providing requested service(s).

OMB 1076-0021

APPLICANT (1)

APPLICANT (2)

Name(Required)

Home Phone(Required)

Social Security Number(Required)

Birthdate(Required)

Driver's License #(Required)

State(Required)

Email Address(Required)

I would like to use my E-mail address to receive outage notifications.

I would like to use my E-mail address to receive outage notifications

LIST NAMES & BIRTHDATES IF ELDERLY OR 5 YRS OF AGE & YOUNGER

Name 1

Birthdate 1

Name 2

Birthdate 2

LIST CLOSEST RELATIVE OR FRIEND NOT LIVING WITH YOU:

Name(Required)

Phone

How Related

Name(Required)

Phone

How Related

Optional Prior Utility Credit Reference

Accepted file types: png, jpeg, jpg, pdf, tiff, gif, Max. file size: 50 MB.

Lobby Hours

Drive Thru Hours

After Hours 406-883-7972

Office 406-883-7900

After Hours 406-883-7972

Office 406-883-7900

Electrical Service Contract Form-New Construction

Fill out the form below online or click here to download the form, or here if this is for a Business.

Net Metering

I hereby agree to enter into a contract with Mission Valley Power (“MVP”) on the following terms and conditions:

Basic Charge applies to services that are billed with or without a meter

Prepay Forms

APPLICANT (1)

APPLICANT (2)

LIST NAMES & BIRTHDATES IF ELDERLY OR 5 YRS OF AGE & YOUNGER

LIST CLOSEST RELATIVE OR FRIEND NOT LIVING WITH YOU:

Section Break

Quick Links

Contact Us

Lobby Hours

Drive Thru Hours

After Hours 406-883-7972

Office 406-883-7900

After Hours 406-883-7972

Office 406-883-7900

Electrical Service Contract Form-New Construction

Fill out the form below online or click here to download the form, or here if this is for a Business.

Net Metering

I hereby agree to enter into a contract with Mission Valley Power (“MVP”) on the following terms and conditions:

***Basic Charge applies to services that are billed with or without a meter***

Prepay Forms

APPLICANT (1)

APPLICANT (2)

LIST NAMES & BIRTHDATES IF ELDERLY OR 5 YRS OF AGE & YOUNGER

LIST CLOSEST RELATIVE OR FRIEND NOT LIVING WITH YOU:

Section Break

Basic Charge applies to services that are billed with or without a meter