Name

This field is for validation purposes and should be left unchanged.

Applying for:

New Service *YOU MUST SUBMIT A $200.00 APPLICATION FEE BY CHECK, CASH OR MONEY ORDER TO COMPLETE YOUR APPLICATION

Account #

* IF YOU HAVE ONE

Name(Required)

Phone(Required)

Mailing Address(Required)

Cell

Did you have a previous service with Mission Valley Power at another address?(Required)

Yes

If Yes, Address:

Electrician / Contractor:

Phone

Federal ID#

New Service: Please select all that apply

New Service will be located on

Fee Land

Tribal Trust / Lease Land

Enrolled Member of the Confederated Salish & Kootenai Tribes? (electrical permit purposes only)

Yes

Location of Job Site: (attach map if necessary)

Map (optional):

Max. file size: 20 MB.

Type of Service(Required)

Overhead

Underground

Building Information

Square Footage(Required)

Year Round

Seasonal

Square Footage:(Required)

(Ft.)

Type of Residence:(Required)

House

Mobile Home

Garage

Out Building

Other

Irrigation Pump:

(Amps)

HP of Pump:

(H.P.)

Irrigation Pump(Required)

(1) Phase

(3) Phase

Pivot

Meter Location(Required)

Building

Underground Pedestal

Meter Pole

Construction

Permanent

Service Size(Required)

200 Amp

CL320

Other

Heat Source

Electric

Gas

Wood

Propane

Other

Air Conditioner

Window

Central

Other

Is any member of your household disabled, handicapped or on life support?

Yes

If Yes, please list names and ages

Emergency Contact

(nearest relative or friend)

Phone

Comments

Please Note: Your application will NOT be process until all of the items listed below are received:

Electrical Service Contract (submit electronically after you complete this form)
Deed for Property
Driver's License
Easement-(Overhead or Underground) - (Must Submit Original Document to Engineering Office prior to scheduling)
Engineering Fee - MUST SUBMIT TO ENGINEERING OFFICE BY CHECK / CASH / MONEY ORDER

Deed for Property:(Required)

Accepted file types: jpg, gif, png, pdf, tiff, gif, Max. file size: 10 MB.

Applicant's Driver's License:(Required)

Accepted file types: jpg, gif, png, pdf, tiff, gif, Max. file size: 10 MB.

Copy of Easement (Overhead or Underground)(Required)

Accepted file types: jpg, gif, png, pdf, tiff, gif, Max. file size: 10 MB.

Applicant’s Name(Required)

Applicants Signature(Required)

Date(Required)

Lobby Hours

Drive Thru Hours

After Hours 406-883-7972

Office 406-883-7900

After Hours 406-883-7972

Office 406-883-7900

New Electrical Service Application

Fill out the form below online or click here to download the form

New Service: Please select all that apply

Building Information

Quick Links

Contact Us

Lobby Hours

Drive Thru Hours