Name of Account Holder(Required) First Last Middle Name (Optional) Location of Service(s) to be Disconnected(Required)Meter Number(s) to be Disconnected(Required)Update Your Contact InformationMailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone(Required)Alternate PhoneEmail(Required) Is Location Winterized?(If scheduled shut off between the months of September and April) Yes No Comments Golden Valley Electric Association (GVEA) assumes no responsibility for damages that may occur as a result of power disconnectionNew Owner/Agent/Landlord Contact Information(Required) Specify the future business date on which you wish to end responsibility for the service. This date must fall within normal business days (Monday-Friday) and exclude holidays and weekends. Note that the earliest a disconnect can be processed is the next business day. If an earlier date is provided, the disconnect will be scheduled for the next available business day. Disconnects will occur any time after 8am.(Required) Month Day Year Account Holder Electronic Signature (Full Name)(Required) Our team will review this information and respond with any questions within 2-4 business days. If your request is urgent please contact one of our representatives at (907) 452-1151 during our normal business hours of Monday-Friday, 8:30AM – 4:30PM, except holidays.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
