Forms

Forms 2017-08-24T20:13:46+00:00

Contact Cooperative Energy Co.

Energy is our specialty. Providing the highest quality service is our priority.
1708 Pierce Ave, PO Box 254 Sibley, IA 51249 | 712-754-2586

Personal Credit PDF Application

*Please also complete and submit W-9 form if you plan to be a shareholder now or in the future.

Personal Credit Application and Agreement

Your Social Security number will be required to set up a new account. Please contact Cooperative Energy Company after submitting this application to provide this information

Amount of desired monthly credit ($)

APPLICANT INFORMATION
Estimate to the nearest year

EMPLOYMENT

BANK or FINANCIAL INSTITUTION

CREDIT REFERENCES

List three business references where credit has been extended


Signature

Business Credit PDF Application

*Please also complete and submit W-9 form if you plan to be a shareholder now or in the future.

Business Account Credit Application and Agreement

Your Social Security number will be required to set up a new account. Please contact Cooperative Energy Company after submitting this application to provide this information

Amount of desired monthly credit ($)

APPLICANT INFORMATION
include all trade names, DBA's, divisions or subsidaries

Business Information
if applicable
provide copy if applicable

BANK or FINANCIAL INSTITUTION

TRADE REFERENCES

List three business references where credit has been extended


Signature
Upload tax exemption form here
Auto Debit PDF Application

Authorization for automatic debit

1708 Pierce Ave, PO Box 254 Sibley, IA 51249 | 712-754-2586

Please attach a photograph of a voided check from the requested bank account.
*by submitting this form, I authorize Cooperative Energy Company to initiate debits from my checking account listed above. This authority will remain in effect until written notification is provided to cancel it, allowing the financial institution sufficient time and a reasonable opportunity to act on it.
Employment PDF Application

Employment Application

1708 Pierce Ave, PO Box 254 Sibley, IA 51249 | 712-754-2586

Personal Information

Education



References
City, State, Zip

City, State, Zip

City, State, Zip

Previous Employment



Computer Experience

Military Service
Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be ground for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that, if hired, my employment is for no definite period and may regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.

W9 Tax Form

The latest version of the Request for Taxpayer Identification Number and Certification (W9) form can be found on the IRS website.

Download or print yours today.

Cooperative Energy Company is hiring!

If you are interested in applying for any of the following openings please fill out the Employment Application above!

  • Jackrabbit Junction and Champs Chicken is seeking part-time help. This is a great opportunity to work in a fun environment with fun people! Start earning some extra cash right away. Stop in and talk to Mindy or call 712-754-4017.