Application for Service in North Carolina

Welcome to Tri-County EMC!

Please complete and submit this application to sign up for electric service.  When applying for new service, providing information such as the previous occupant's name, the meter number and the street address where service is being requested will help save time.  After submitting an application for service,  it normally takes one or two days to have electricity connected.  If the service is to a newly constructed home or requires some construction (i.e. pole(s) set, wires run, etc.) a longer period of time may be required depending on the circumstances. 


Feel free to contact us with any questions you may have.  You may call our office during normal business hours, Monday through Friday 8:00 a.m. until 5:00 p.m. at (919) 735-2611 or toll free at (800) 548-4869 or email our customer service department at


Note: All fields with the asterisk (*) are required.

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
First Name:   *
Last Name:   *
Middle Initial:  
SSN:--  *
Drivers License #:  *
License State:  
Date of Birth:  *  

Please enter the billing address:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Please enter the street address where service is required:
Service Address:  
Service Type (Construction Required or Existing Service):   *
If applicable, directions to new construction:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--  
Employer Phone:--   *
Spouse's Name: 
Spouse's SSN:-- 
Spouse's Drivers License #:  
Spouse's Date of Birth:    

Online Access
We offer a variety of "online services" that our members may use through our website.  As one of our services, we provide an online application for viewing and paying bills.  If you would like to use this service, please specify an Internet Password and Password Hint at this time. 

Internet Password:  
Confirm Internet Password:  
Password Hint:

Existing Service
Have you ever had service with us before?
Account Number:

Fee & Deposit Information
A membership fee of $5.00 is due with the service application. Deposits may be waived only if an applicant has a satisfactory credit rating confirmed by Online Utility Exchange. Depending on the credit check, deposits are:

  • no deposit is required
  • $245 deposit is required
  • $445 deposit is required

Co-Signatures are also accepted in lieu of deposits, but only from a parent of the applicant. The parent co-signer must be an existing member of Tri-County EMC and have a good credit history with the cooperative. Click here for more information on how you can waive the deposit.

Membership Fee:  

Meter Number:  
Previous Occupant's Name:  
Are you interested in signing up for Bank Draft? (Yes/No)  
I understand the rules and regulations of Tri-County EMC. By submitting this application request, I agree to pay the $5.00 membership fee and/or a security deposit, if applicable.
I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Applicant Name:     *