St. Louis, MI · Gratiot County
Electric Shutoff Protection Enrollment
This form lets St. Louis utility customers apply for electric shutoff protection by selecting an eligibility category and providing account and contact information.
What this form is
St. Louis electric customers use this form to enroll in shutoff protection as a senior, critical care customer, low-income customer, or person on active military duty. It asks for utility account and contact details, the enrollment category, and a signature and date. Depending on the category, applicants must attach age verification or provide medical, income, assistance, or military-related information; low-income customers may need additional forms or agreements.
Who needs it
Electric utility customers seeking shutoff protection under one of the form’s four categories should complete this enrollment form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Electric Shutoff Protection Enrollment form.
- 2
Complete The Form
Enter your utility account and contact information, then check one enrollment category.
- 3
Gather Supporting Documents
Gather the documentation required for your selected category; low-income customers may need additional forms or agreements.
- 4
Sign And Date
Certify that the information is true and accurate, then sign and date the application.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for electric shutoff protection?
- The form lists four categories: seniors age 65 or over, critical care customers, low-income customers, and people needing assistance after a call to active military duty.
- What documents may I need to provide?
- Requirements depend on the category. The form lists age verification, medical documentation, proof of income or qualifying assistance, and military-related information.
- Do I need a notary for the Electric Shutoff Protection Enrollment?
- No. The form has a customer signature and application date, but no notary block. The signer just signs and dates it.
- How do I submit the Electric Shutoff Protection Enrollment?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Electric Shutoff Protection Enrollment doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.