Start Utility Service

Start Utility Service - Business
DBA
Legal Business Name*
Service Start Date*

MonthDayYear
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

Same as service address
Enter Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Telephone Number
Please enter a valid phone number.
Secondary Telephone Number
Please enter a valid phone number.
Email*
(required for confirmation)
Corporate Federal Tax ID
IRS-SS-4 Certification – Under penalties of perjury, I certify that the number show on this form is my correct Taxpayer Identification Number.
Upload Image/PDF Tax-Exempt Certificate

Cancelof
Upload Image/PDF of Lease or Ownership or Property Mgmt Agreement *

Cancelof
Upload Image/ PDF of Government Issued ID*

Cancelof

Is this property going to be used as a short-term rental?*

YesNo
Please select all the service needed*

Permanent ElectricTemporary ElectricVapor LightsGarbage/Trash
List of authorized individuals to act on behalf of the company
Signature

Clear
Today’s Date

MonthDayYear
Small change can add up and help transform lives! Through this voluntary program, all money donated/received will go towards providing financial assistance through the Good Neighbor Utility Assistance Fund. If you choose to participate, your electric bill will be rounded up to the next whole dollar amount. For example, a customer’s bill of $110.73 would be automatically rounded up to $111.00, with the additional 27 cents going to the utility’s Good Neighbor Utility Assistance Fund. The donations are then matched dollar-for-dollar by the utility. The Good Neighbor Utility Assistance Fund provides emergency utility bill payment assistance to individuals and families in Kissimmee facing a temporary financial crisis.
Round Up my electric bill to the nearest dollar?*

YesNo
Requirement: To begin service, all required documents must be uploaded. If you are unable to upload, you may email the documents to newservice@kua.com or fax them to (407)-933-1936. You may also bring these items to our main office at 1701 W. Carroll St. in Kissimmee, prior to the requested service start date. Deposit: Electric service deposits are based on two times the 12 month average consumption. Deposits begin at $340.00 and are reviewed after 6 months to ensure the deposit amount is adequate. Terms and Agreement: By selecting the agree button, the account holder is authorizing KUA to activate service and to utilize the information obtained through this application. The account holder understands that a copy of the lease or purchase agreement must be received by KUA to complete the service activation process. The account holder also agrees that all information faxed to KUA is at the account holders own risk and agrees to hold KUA harmless for any liability suffered by the account holder or anyone else due to the facsimile transmission of this information. By submitting this application, I understand that I am on notice from KUA that my services may be initiated immediately without further notice. I also understand and agree that it is the account-holder or account-holder representative’s sole responsibility to notify KUA if such immediate restoration or initiation is not desired.*

Agree
Please verify that you are human*
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Start Utility Service - Business