Transfer Request – Cimarron Electric Cooperative

Transfer Service

Are you taking ownership or relinquishing ownership?*

Are you the home owner?

Yes

No

Rental

First and Last Name

Contact Number

Contact Email

Taking Ownership Information

Have you filled out the New Service form?

Meter Number at Location

Requested Connect Date

Street Address, 911 Address, or Legal Description of the service being transferred.

Previous Owners Name (if known)

Previous Owners Contact Number (if known)

Relinquishing Ownership Information

Account Number

Meter Number

Requested Disconnect Date

Forwarding Address

House & Street or PO Box

State

City

Zip Code

New Owner (if known)

New Owner’s Name

New Owner’s Contact Number

Please type the characters*

This helps us prevent spam, thank you.

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Transfer Service

Are you taking ownership or relinquishing ownership?*

Are you the home owner?

Yes

No

Rental

First and Last Name

Contact Number

Contact Email

Taking Ownership Information

Have you filled out the New Service form?

Meter Number at Location

Requested Connect Date

Street Address, 911 Address, or Legal Description of the service being transferred.

Previous Owners Name (if known)

Previous Owners Contact Number (if known)

Relinquishing Ownership Information

Account Number

Meter Number

Requested Disconnect Date

Forwarding Address

House & Street or PO Box

State

City

Zip Code

New Owner (if known)

New Owner's Name

New Owner's Contact Number

Please type the characters*

This helps us prevent spam, thank you.

This field should be left blank

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