Forms

Forms 2018-03-22T13:37:54+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
A copy will need to be mailed to Cooperative Energy Company for proof.

BANK or FINANCIAL INSTITUTION

TRADE REFERENCES

List three business references where credit has been extended


Signature
Auto Debit PDF Application

Authorization for automatic debit

To authorize automatic debit, please mail the completed PDF form and a copy of your voided check to:
Cooperative Energy Company - 1708 Pierce Ave PO Box 254 Sibley, IA 51249

To work directly with a Cooperative Energy Company representative, please fill out and submit the form below.


*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.