Name / Address Change Request

Optional: If you would rather download the application and fax or mail it to Santee Electric, please download the pdf document here.

Please fill out this form completely. Uncompleted forms will be discarded.
Fields marked with * are required.

Requested Change (Please check all that apply):

* Account Name:

* Account Number:

* CIN Number:

* Email:

Name Changes:

Change Name From:

Change Name To:

Add Name:

Social Security Number:

Drivers License Number:

Date of Birth:

Phone Number:

Federal ID Number:

Reason for Change:

Address Changes:

Change Address From:

Change Apartment / Unit # From:

Change City From:

Change State From:

Change Zip Code From:

Change Address To:

Change Apartment / Unit # To:

Change City To:

Change State To:

Change Zip Code To:

Further Information:

* Your Comments and the best time to call:

No name can be changed except from one spouse to another or due to marriage or divorce (change back to maiden name or new married name). No other name can be added to an account except for spouse.

By clicking submit on this form your are submitting your electronic signature which is binding in a court of law.

* This is a printer friendly version of the original page, made to save you ink and paper.

Santee Electric Cooperative - Bringing You the Power That You Need

Name / Address Change Request

Optional: If you would rather download the application and fax or mail it to Santee Electric, please download the pdf document here.