Membership Application
Thank you for applying for electric service with West Kentucky Rural Electric Cooperative Corporation (WKRECC). As a non-profit, member-owned and led cooperative, we look forward to serving you. This online application will make establishing service more convenient. If you have questions, please call WKRECC at 1-877-495-7322 during regular business hours. Please note that we cannot guarantee same-day service or connect service outside regular business hours, on weekends or holidays.

To complete this form:

1. Using the upload section below, upload a copy of applicant's (and co-applicant's if applicable) photo ID.
2. If you rent, then either enter the name and phone number of your Landlord in the spaces below, or using the upload tool below, upload a copy of your lease agreement.
3. Click on the two check boxes to acknowledge that you agree to the terms of the application.
4. Sign and date the application. To sign, click the yellow signature box. Then drag your mouse or use your finger to draw your signature and click the Finish button. Enter the date below the signature.
5. If applicable, sign and date the Declaration of Domicile. To sign, click the yellow signature box. Then drag your mouse or use your finger to draw your signature and click the Finish button. Enter the date below the signature.
5. Click the Submit button.

NOTE: Fields marked * are required.

DO NOT SEND A PRINTED COPY. DO NOT SEND A SCANNED COPY. Please complete by clicking the Submit button at the bottom of the form.

   
Service Location
If the service requested with this application is for your primary residence, please complete the Declaration of Domicile for Purchase of Residential Utilities section at the bottom of this form. Your account will be exempt from sales tax.
Purpose of This Account

For Residential, Complete this Section.
If you rent, you must provide either a copy of your Lease Agreement or the name and phone number of your Landlord. If applicable, please upload your Lease Agreement in the File Upload Section below.
Applicant Information
A copy of your photo ID is required. Please upload a copy of your ID in the File Upload section below.
   (MM/DD/YYYY)
You must be at least 18 years of age to apply for service.
Please note that by providing your cell phone number you consent to use of your mobile phone for calls, texts, emails related to your WKRECC account.
Mailing Address
Is the Mailing Address the same as the Service Address?
Co-Applicant Information (spouse, roommate, etc., who shares liability for this account)
If applicable, a copy of Co-Applicant's photo ID is required. Please upload Co-Applicant's photo ID in the File Upload Section below.
   (MM/DD/YYYY)
Please note that by providing your cell phone number you consent to use of your mobile phone for calls, texts, emails related to your WKRECC account.
General Account Information
Would you like to receive Kentucky Living Magazine (free)?
Is there a security light or an outdoor light at this location?
Do you want to learn about payment via automatic bank draft?
How would you like to receive your bill?
Have you previously had electric service through WKRECC?
If yes, please provide your previous service address.
File Upload Section
The following file types can be uploaded: pdf, png, gif, jpg and jpeg.
I agree to WKRECC's Bylaws, Rules and Regulations and Member Policies. By submitting this application request, I consent to allow WKRECC to verify that my social security number and the name on my application match and to conduct a utility credit check.
I also give WKRECC express consent to send SMS text alerts, emails and phone calls to inform me of account activity such as billing and outages. If my mobile phone number or email address changes, I agree to notify WKRECC of these changes.

TERMS AND CONDITIONS
The undersigned (hereinafter called the "Applicant") hereby applies for membership in, and agrees to purchase electric energy from West Kentucky Rural Electric Cooperative Corporation (hereinafter called the "Cooperative") upon the following terms and conditions:

1. MEMBERSHIP FEE
The Applicant will pay to the Cooperative the amount specified in the Cooperative's Bylaws which, if this application is accepted by the Cooperative, will constitute the Applicant's membership fee. upon termination of service after the term of contract and upon settlement of final billing, the membership fee will be refunded to the Applicant or, at the option of the Cooperative, be applied against the final billing for electric service. In the event the Cooperative is unable to furnish service to the Applicant, the membership fee will be returned to the Applicant.
2. PAYMENT
The Applicant will purchase from the Cooperative or self-generate all electric energy used on the premises described herein and will pay therefore monthly at rates to be determined from time to time in accordance with the Bylaws of the Cooperative. The Applicant will pay the minimum bill provided on the Rate Schedule for his service classification, regardless of the number of kilowatt hours consumed. The Cooperative reserves the right to discontinue service to the premises described herein upon non-payment for any services or products or for any other obligations which shall from time to time become due and payable.
3. DELIVERY POINT
The connectors(s) utilized to dead-end the Cooperative's supply conductor shall constitute the delivery point and all service equipment, wiring and appurtenances beyond said connectors(s), with the exception of the Cooperative's meter, shall be installed and maintained by the Applicant. The Cooperative assumes no duty or liability for any service equipment, wiring or appurtenances not installed by it, or for any injury to persons or property resulting from service equipment, wiring or appurtenances installed by the Applicant. The Applicant hereby releases and agrees to hold the Cooperative, it's officers, directors, employees and agents harmless from any and all claims for injuries to persons or property beyond the above defined delivery point.
4. BYLAWS, RULES AND REGULATIONS
The Applicant will comply with and be bound by the provisions of the Articles of Incorporation and Bylaws of the Cooperative, as amended and revised, and such rules and regulations as may from time to time be adopted by the Cooperative. The Cooperative is a regulated utility and has in its own right established rules and regulations. All the rules and regulations referred to herein, as well as its Bylaws and Articles of Incorporation, as amended and revised, are made a part of this application, incorporated by references as it fully copied herein and will supersede and prevail over any inconsistent terms of this Membership Application/Agreement.
5. PERSONAL LIABILITY
The Applicant, by paying a membership fee and becoming a member, assumes no liability or responsibility for any debts or liabilities of the Cooperative, and it is expressly understood that under the law his private property is exempt from execution for any such debts or liabilities.
6. CONTINUITY
The Cooperative shall use reasonable diligence to provide the Applicant with a constant and uninterrupted supply of electric power and energy; but if such supply shall fail or be interrupted or become defective through act of God, or the public enemy, or by accident, strikes, labor troubles, or by action of elements or inability to secure rights-of-way, or other permits needed, or breaker or fuse operation, or any other cause beyond reasonable control of the Cooperative, the Cooperative shall not be liable therefore.
7. TERM
The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the Cooperative and the contract for electric service shall continue from the date service is made available by the Cooperative to the Applicant, and thereafter until cancelled by either party to the other. This section of the application does not apply to the right of the Cooperative to terminate this agreement for non-payment of bills or for violation of any of the rules and regulations, Bylaws, or Articles of Incorporation as herein referred to in Paragraph (4) of the application.
8. SUCCESSION
This agreement may be assigned by the Applicant only with the consent of the Cooperative but shall be binding upon and inure to the benefit of the successors, legal representatives, heirs, devisees, and assignees of the respective parties hereto.
9. CONSENT TO OCCUPY
The Membership Application/Agreement shall constitute an irrevocable license to the Cooperative to construct, operate, maintain, aerially inspect using a manned or unmanned aircraft system (UAS) including drones and repair electric lines and any other electric or communications infrastructure on, over or under the real estate of the Applicant and running with the land applicable to all successors in title, including the right of the Cooperative in its discretion to cut, trim, doze, mow, and/or use herbicidal chemical spraying on trees, shrubbery or other vegetation deemed necessary by the Cooperative to properly and adequately clear and maintain right-of-way in accordance with policy and procedure established by the Cooperative's Board of Directors or management and further including the right of the Cooperative to provide service to the member himself or to other members and customers of the Cooperative and to ingress and egress as may be necessary or convenient to the extension of said service.
10. DEPOSIT
The Cooperative may require from the applicant at any time a deposit in accordance with policy and procedure established by the Cooperative's Board of Directors or management prior to service connection as a guarantee of payment of current bills. Such deposit may be refunded after final bill has been paid or may be applied against any underpaid billing, at the Cooperative's option, upon discontinuance of service.
11. ALTERATIONS
No agent or representative of the Cooperative has the power to amend, modify, alter, or waive any of the provisions of this contract or any of the general terms and conditions relating not herein contained. Any promise, agreements, or representations made by any agent or representative of the Cooperative not herein set forth shall be void and of no effect.

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Applicant Signature
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Date: (MM/DD/YYYY)

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Co-Applicant Signature
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Date: (MM/DD/YYYY)


If you qualify, complete the Declaration of Domicile (below) to be exempt from sales and use tax on your purchase of electricity by providing your signature and entering the date.

Declaration of Domicile for Purchase of Residential Utilities
In accordance with the provisions of KRS 139.470(7) this declaration may only be executed for the purchase of sewer services, water, and fuel by Kentucky residents for use in heating, water heating, cooking, lighting, and other residential uses. "Fuel" shall include but not be limited to natural gas, electricity, fuel oil, bottled gas, coal, coke, and wood.

KRS 139.470(7) describes a place of domicile as "the place where an individul has his or her legal, true, fixed and permanent home and principal establishment, and to which, whenever the individual is absent, the individual has the intention of returning."

is the accountholder for .
I declare that the address listed is my place of domicile and the purchase of residential utilities for use at this address meets the requirements for exemption from Kentucky sales and use tax under KRS 139.470(7).

Accordingly, I request the account associated with the above listed service address be classified as exempt from sales and use tax. I understand the exemption will begin on the date of the first full billing cycle after the date of receipt of this declaration by the utility provider or rural electric cooperative.

Under penalties of perjury, I swear or affirm that the information on this declaration is true and correct as to every material matter.
Each resident may have only one place of domicile but may be listed as a responsible party for other service addresses.

The change in taxability for accounts will be effective on the first day of the first full billing cycle after the date of receipt of this declaration by the utility provider or rural electric cooperative.


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Signature of Resident
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Date: (MM/DD/YYYY)