If you are moving to Minnesota Power's service area, or are already a Minnesota Power customer and are moving to another existing house, please complete and submit this form to start service at your new home.

Fields indicated with * below are required.

Previous address if MP customer in past 5 years
Have you been a MP customer in the past 5 years?		Yes No
If yes, list name that appeared on the account
If yes, street address of previous electric service
City
State		- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Electric Service Address
Address at which you will receive electric service	*
City	*
State	*	- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip	*
Are you	*	Buying this property Renting this property
If renting, landlord's name
If renting, landlord's phone number
Date to start new service	*
Applicant #1 Information
Last Name	*
First Name	*
M Initial
Home Phone Number	*
Cell Phone Number
You will receive your confirmation e-mail at the address provided below:
E-mail Address	*
Re-enter E-mail Address	*
Employer	*
Employer Phone Number	*
Information about a relative not living with you
Name of relative	*
Relationship	*
Phone Number	*
Address	*
City	*
State	*
Zip	*
Applicant #2 Information when Applicable
Last Name
First Name
M Initial
Home Phone Number
Cell Phone Number
E-mail Address
Re-enter E-mail Address
Employer
Employer Phone Number
Information about a relative not living with you
Name of relative
Relationship
Phone Number
Address
City
State
Zip
Comments
Security Code	*