Sign Up For New Residential Service

Welcome to Jefferson! We're happy to be your new utility provider. Please fill out the below application and bring it to our office Monday through Friday, 7:30 a.m. to 4:30 p.m. to establish service.  When submitting the application, all individuals listed on the form will be required to appear in person and provide photo ID to verify their identity.  If you have any questions or concerns, please contact our office at 920.674.7711.

Please note that all tenants are required to have their landlord sign the application before it will be accepted.

Due to the COVID-29 pandemic, we will temporarily waive the requirement to appear in person.  You may mail in your application, with a copy of your photo ID to complete the application process.

New Address

Mailing Address

Customer Information

Upload an image or photo of your current ID matching the information above.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png eps pdf.

Previous Address

Landlord Information