Request GEPB Services – Glasgow EPB

request glasgow epb services

If applying for electric service of your primary residence, you will be asked to check an acceptance box during the final steps of your service application that serves as your signature declaring the served address as your domicile. This declaration qualifies you for exemption of the application of Kentucky sales and use tax on your monthly electricity bill. This step is in accordance with the provisions of KRS 139.470(7) enforcing Kentucky sales and use tax for utilities of all non-domicile structures. View the full DECLARATION OF DOMICILE FOR
PURCHASE OF RESIDENTIAL UTILITIES agreement HERE.

* KRS 139.470(7) describes a place of domicile as “the place where an individual has his or her legal, true, fixed and permanent home and principal establishment, and to which, whenever the individual is absent, the individual has the intention of returning.”

Introduction

Welcome to the Glasgow EPB's online service request form! By accepting and choosing to continue with this form submission, you are hereby guaranteeing that all information submitted is accurate and legitimate. If any information is found to be false, you will be held responsible for all charges incurred after the start of service.

Contact

By accepting, you are also allowing the Glasgow EPB to contact you via the communication platforms asked for in this form.

Credit Check

This acceptance gives permission to the Glasgow EPB to conduct a credit check if necessary. Service account holders must be over the age of 18 and are required to provide two forms of legal identification.

Acknowledgement

This form helps to expedite the service request process and to give an additional convenient resource to current/prospective Glasgow EPB customers. However, this is not the only item needed for Glasgow EPB service account setup. A GEPB customer service representative will have to contact you to confirm the information provided in this form is accurate and will give further information on the requirement and amount needed for a security deposit.

Service Address Acknowledgement

By accepting, you are acknowledging that your service address may not be eligible for certain Glasgow EPB services or may not be serviceable by GEPB at all.

Deposit Acknowledgement

By accepting, you are acknowledging that a security deposit may be required to set electric or broadband service with the Glasgow EPB and payment of that deposit will have to be completed either in-person or over-the-phone before service will be turned on.

Normal Business Hours Acknowledgement

By accepting, you are also acknowledging that all service requests and transfers will only take place during normal business hours (8 AM - 4:30 PM Monday-Friday). Requests made on weekends and holidays will not be completed until the next business day.

Legal Fist Name

Legal Last Name

Date of Birth

Social Security #

Drivers License/Government Issued Photo ID #

Secondary Lessee Legal Fist Name (Only if renting and applicable)

Secondary Lessee Legal Last Name (Only if renting and applicable)

Secondary Lessee Date of Birth (Only if renting and applicable)

Secondary Lessee Social Security # (Only if renting and applicable)

Secondary Lessee Drivers License/Government Issued Photo ID # (Only if renting and applicable)

New Service Address

Date needed for service to begin?

Lease Upload (Only If Renting)

Mailing Address

Phone #

E-Mail Address

Have you had Service Through The Glasgow EPB Before?

Yes No

Services Requested

Electricity (Only available in Glasgow, KY city limits.) Cable TV & High-Speed Internet Package Cable TV Only High-Speed Internet Only

Electricity Billing (If not Requesting Electric Service please select N/A)

i-Pay (Prepaid) Monthly Bill N/A

i-Pay Enrollment Form (If Applicable)

Bank Draft Preferance (All Services)

Yes (I want to have my account on bank draft and can provide the GEPB with a voided check/banking account information) No (I do not wish for my account to be set up on bank draft)

Broadband Bundles

Essential Cable + 25MB Internet - $110 Essential Cable + 50MB Internet - $120 Essential Cable + 100MB Internet - $130 Premier Cable + 25MB Internet - $130 Premier Cable + 50MB Internet - $140 Premier Cable + 100MB Internet - $150 Premier HD Cable + 25MB Internet - $140 Premier HD Cable + 50MB Internet - $150 Premier HD Cable + 100MB Internet - $160 Not Interested in Broadband Services Bundle

Cable Packages (Click N/A if subscribing to Broadband Bundle)

Economy Only (22 Channels) - $30.60 - EFFECTIVE 11/1/2023: $48 (Internet not available with Economy Only cable subscription) Economy/Essential (75 Channels) - $80.00 - EFFECTIVE 11/1/2023: $108 Premier Digital (178 Channels) - $100 - EFFECTIVE 11/1/2023: $128 Premier HD (258 Channels) - $110 - EFFECTIVE 11/1/2023: $138 Not Interested in a Cable TV Subscription N/A

Premium Channel Offerings (Only With Premier Cable TV Subscription)

HBO Showtime Cinemax Starz/Encore

Internet Service Speed (Click N/A if subscribing to Broadband Bundle)

25 MB - $55 Internet Only 50 MB - $65 Internet Only 100 MB - $75 Internet Only Not interested in Internet Service N/A

Round-Up Program Enrollment (Rounds monthly bill amount to full dollar. Change is donated to Community Relief Fund of Glasgow/Barren County)

Round bill to next full dollar Add $1 Add $5 Add $10 Add $20 Not Interested in Round-Up Program

Declaration of Domicile For Purchase of Residential Utilities Agreement

Yes. I, (Name of Account Holder), am the resident of the applied service address. I declare that the address listed is my place of domicile*. I agree that the purchase of residential utilities for use at this address meets the qualifications for exemption from Kentucky sales and use tax under KRS 139.470(7). Accordingly, I request the account associated with the applied service address be classified as exempt from sales and use tax. I understand the exemption will begin on the date of the first full billing cycle after the date of receipt of this declaration by the utility provider. N/A

Declaration of Domicile For Purchase of Residential Utilities Confirmation

Yes. Under penalties of perjury, I swear or affirm that the information on this service application and declaration is true and correct as to every material matter. Acceptance of this condition serves as my signature with the submission of this service application serving as the date for this declaration. N/A

Fees Acceptance

By accepting and submitting this form you acknowledge GEPB Electric Service is subject to a $30 connection fee. GEPB Cable/Internet Service is subject to a $40 connection fee.

Final Acknowledgement

By accepting, you are confirming your acknowledgement that this form is meant for expedition of the service account set-up process. Once submitted, a Glasgow EPB customer service representative will have to confirm the information given in this form and will contact you regarding your request for service and will detail any amount due for a security deposit. Until that contact is made, service set-up or transfer IS NOT BE COMPLETE.

Confirm

Accepting of this item serves as an official signature of confirmation that I hereby request the Glasgow Electric Plant Board of Glasgow, Kentucky, to furnish electric (and cable/internet) service to the address shown heron. I have been advised the Schedule of Rules and Regulations of the Glasgow EPB (GEPB) are available to me to read and that a copy thereof will be given to me at no charge if requested. I acknowledge that the Schedule of Rules and Regulations are a part of my contract with the Glasgow Electric Plant Board and I agree to receive and pay for service in accordance with the GEPB’s Schedule of Rules and Regulations. I further give permission for GEPB to contact me about my services by any available means, including my cellular telephone.

If applying or transferring service and wish to switch to i-Pay (prepaid) electricity billing, you will need to complete and upload an i-Pay enrollment form, which can be filled out and downloaded here.

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