Forms

Golden Valley utilizes a variety of forms to assist its Membership. To better serve you, below are electronic copies of our commonly used forms. You can submit a completed form via email or by dropping it off with any of our Member Service Representatives. If there is a form that you require and it cannot be found here, please contact us, and we will be happy to assist you.

• Account Maintenance Form
• Auto Pay Forms:
  • Payment from Credit or Debit Card
  • Payment from Savings or Checking Account
• Between Tenant Agreement
• Between Tenant Agreement Cancellation Form
• Disconnect Request
• Joint Membership Application
• Meter Labeling and Certification
• Power of Attorney
• Property Management Authorization
• Residential Application for Connect
• Terminate Joint Membership

If you are a Business and wish to establish electric service, please complete the Business Membership Application and return it to one of our Member Service Representatives. If you are a new Business, you will need to provide a copy of your business license along with a completed W-9 Form. If you wish to have an employee conduct business on your behalf, you will also need to complete a Business Designee form. *All business requests must be in writing.

• Business Membership Application
• Business Designees
• W-9 Form

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Instructions on how to sign your documents digitally: Digital Signature Instructions