Service Application

An application for membership and for service is required from all Members. A separate application for service may be required for each point of delivery. The Cooperative may require a written application for service. Please note service can only be connected on working days, Monday - Friday.

 

The Member shall pay the membership fee to become a member of the Cooperative and be bound by the provisions of the Articles of Incorporation and Bylaws of the Cooperative and by such Rules and Regulations as may, from time to time, be adopted by the Cooperative. A non-refundable service charge shall be paid on all service connects in the amounts shown on the Cooperative’s schedule of Charges and Deposits on file with the Louisiana Public Service Commission. There are also general requirements for permitting in parishes and cities in our area. DEMCO will adhere to these and any requirements imposed by governing authorities.

Voluntary Member Self-Identification Survey
Dixie Electric Membership Corporation (DEMCO) is the recepient of Federal financial assistance from the Rural Utilities Servuce (RUS) and as such is required to report on our members' racial and ethnic backgrounds.  In an effort to comply with Federal Government record keeping, reporting, and other legal requirements, we ask that you voluntarily provide us with information concerning your racial and ethnic background.  No negative or otherwise adverse action will be taken, whether you provide the information or not.  However, your cooperation will allow us to obtain the most accurate data possible for mandatory reporting purposes. Please select your race/ethnic classification from the dropdown in the Nationality field of the online application. We greatly appreciate your participation in the Voluntary Member Self-Identification Survey.

Note: All fields with the asterisk (*) are required.


Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant First Name:   *
Applicant Last Name:   *
SSN:-  -   *
Driver's License #:  *
License State:  
Birth Date:    
Employer:  
Nationality  
Date of Birth:  *
Please indicate if service is being requested for a House, Trailer, Shop, New Construction or Other:  *

Billing Address
Please mail bills to the address shown below:

Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address
Please provide the address where service is being requested including Box for Apt #, if applicable:

Service Address:   *
Service Type (Construction Required or Existing Service):   *
If applicable, directions to new construction:  
E-mail:  *
Confirm E-mail:  *
Home Phone:-  -    *
Cell Phone:-  -   
Work Phone:-  -     *
Spouse Name: 
Spouse SSN:-  -   
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  
Spouse Date of Birth:  

Note: Click here for DEMCO's Bylaws, Section 1.04 Joint Membership.

Online Access
As one of our services, we offer an online application for viewing and paying bills. If you would like to use this service, you can specify an Internet Password and Password Hint at this time. For security purposes, please specify a Password that is at least 4 characters in length.
Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing or Previous Service
Have you ever had service with DEMCO?    
Account Number:

Connection Charge:  

Please indicate if location is All Electric or Gas/Electric:  *
If applicable, what uses gas?
Please note DEMCO does not offer gas service.		  
Parish of Service:  *
Do you Own or Rent this location?  
Please select your preferred Billing Method:   *
Please select your preferred Delinquent Method:   *
 
I have read and understand the terms and conditions outlined in the Member Handbook, applicable Bylaws and Service and Membership Agreement of DEMCO. By submitting this application request, I also agree that a credit check may be submitted, if necessary, to determine if a security deposit is required. A one time $5.00 membership fee applies.