Residential Start Service Request Residential Start Service Request Residential Start Service Request Form Progress 0% Customer Information Customer Information Customer Information Customer Information New Location Information New Location Information New Location Information New Location Information Before You Begin We may need access to the meter(s) to turn on service. An adult (18 years or older) must be present If the meter(s) is inside a building or locked fence. All pets/animals must be restrained in an area away from service personnel's path to the meter and at the meter. When the requested date is close to the date of the scheduled meter read date, we will use the meter read to complete your order. Your confirmation email will indicate this if applicable. You will receive a confirmation email when the order is scheduled. The email will include any access requirements, order date and other important information. Please read the confirmation carefully. Begin Personal Information First Name MI Last Name Maiden Name (if applicable) Social Security Number Help Date of Birth Our online process to start service uses secure technology to ensure all online communication between you and MidAmerican Energy is encrypted. MidAmerican Energy uses reasonable means to verify the identity of our customers. The intent of obtaining personal identification is to safeguard customers from potential identity theft or fraud. If you prefer not to provide the information requested on this application, please visit a customer office or call 888-427-5632 to inquire about alternative forms of identification that will be accepted. Continue Contact Information Phone Number Alternate Number Email Continue Marital Status Marital Status Options Married Single Divorced Widowed Spouse Information First Name MI Last Name Social Security Number Help Our online process to start service uses secure technology to ensure all online communication between you and MidAmerican Energy is encrypted. MidAmerican Energy uses reasonable means to verify the identity of our customers. The intent of obtaining personal identification is to safeguard customers from potential identity theft or fraud. If you prefer not to provide the information requested on this application, please visit a customer office or call 888-427-5632 to inquire about alternative forms of identification that will be accepted. Phone Date of Birth Continue Alternate Contact Alternate Contact – someone not living at the property First Name Last Name Phone Number Cancel Next Address Information Address of location(s) you would like to start service Address Apt, Lot or Unit Optional City State Select Illinois Iowa Nebraska South Dakota Postal / ZIP Code Note: For residential properties, regardless of whose name the service is in, gas and electric companies are not permitted to disconnect service between November 1 and April 1 when any occupant of the property is approved for low income energy assistance. If you would like to start service at more than one property, select Add Property Add Property Continue Ownership and Contact Information Will you own or rent at the new location? Own Rent Provide contact information for your property owner or landlord. Name Phone Continue Billing Information How would you like to receive your bill? Paperless Mail Send paperless bill notifications to: Do you want it mailed to a different address? Yes No Address for Bill Delivery Address Apt, Lot or Unit Optional City State / Province Select Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Fed States Micro Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St. Kitts and Nevis St. Lucia St. Vincent and The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda UK (United Kingdom) Ukraine United Arab Emirates Uruguay USA (United States of America) Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Postal / ZIP Code Postal / ZIP Code There will be times we are required to send important information about your account through the postal service. Should we use your new address? Yes No Mail to: Address Apt, Lot or Unit Optional City State Select Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Fed States Micro Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St. Kitts and Nevis St. Lucia St. Vincent and The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda UK (United Kingdom) Ukraine United Arab Emirates Uruguay USA (United States of America) Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Postal / ZIP Code Postal / ZIP Code Would you like to take advantage of the Budget Billing Plan at your new location? Yes No Learn More About Budget Billing Continue Start Service Date at New Location Date you would like to start service? The location will be accessible on the above date from: All Day (7 a.m. to 8 p.m.) AM (7 a.m. to noon) PM (noon to 5 p.m.) Continue Access? Do you have a pet in the home or yard? Yes No I agree to provide a safe and clear path to the meter and confine any pets. Continue Call Ahead? If access is needed, would you like a 30-minute call ahead? Yes No Name Phone Please review your confirmation email to ensure your requested date/time is available and if access is necessary. Continue Additional Information Additional Instructions Or Information: Go Back Submit & Print