To establish electric service with Central Georgia EMC, please complete the below Application.  If you have any questions, or prefer to apply over the phone, contact our office at 770-775-7857 or 800-222-4877 or send an email to

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

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
Applicant First Name:   *
Applicant Last Name:   *
Applicant Middle Initial:  
SSN:--  *
Birth Date:    
Applicant Employer:  
Nationality  *
Employer Address:  
City, State:  
Zip Code:  

Please enter the address where bills should be sent:
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:--  
Work Phone:--   
Spouse or Co Member Name: 
Spouse or Co Member SSN:-- 
Spouse or Co Member Birth Date:    
Relative Not Living in Household:  
Relative's Address:  
City, State:  
Zip Code:  
Relative’s Phone:  

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:

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

In addition to the below shown Membership Fee and Connection Fee, based on the results of a credit check, a security deposit may be required.

Membership Fee:  
Connection Fee:  

Is there an outside security light at this location? (Yes/No)  
If yes, do you want to continue outside security light service? (Yes/No)  
If Renting, Property Owner's Name:  
Telephone No:

Does your home require natural gas service? (Yes/No)  *
Central Georgia EMC partners with Fuel Georgia to offer excellent service and affordable rates. Would you like more information from Fuel Georgia? (Yes/No)  
Do you Own or Rent this location:   *
Would you like to participate in Operation RoundUp®?   *
Please select preferred Billing Method:  

Check here to agree to the following terms:

I (we) hereby apply for Membership with Central Georgia Electric Membership Corporation (CGEMC) and for electric service according to the terms and conditions set forth and agree as follows:

1. To comply with and be bound by the provisions of the Articles of Incorporation, Bylaws, and such rules and regulations and policies as may be adopted from time to time by the Board of Directors of CGEMC; and when requested by CGEMC to execute and deliver easements or rights of way in accordance with such reasonable terms and conditions as CGEMC shall require across my (our) property for the furnishing of electric service to my (our) premises or to provide service to other premises.

2. To indemnify, defend, and hold harmless CGEMC against all claims, demands, costs or expenses for losses, damages, or injuries to persons or property in any manner directly or indirectly arising from, connected with, or growing out of the transmission or use of electrical current at or on my (our) side of the meter, or arising solely by virtue of CGEMC providing electric service to my (our) premises or arising from electrical service to a manufactured or mobile home with the meter base mounted on the home.  I (we) understand that CGEMC does not assume any responsibility for wiring beyond the meter or responsibility for inspection of wiring beyond the meter.

3. All past due accounts which are deemed uncollectible will be turned over to Central Georgia EMC’s contract collection agency, court, or to Central Georgia EMC’s attorney for collection with full authority to make payment demands for the cooperative. All costs of collection will be added to the customer’s past due account and will be paid by the customer, including court costs, reasonable attorney fees, and a reasonable collection agency fee of 35% of the amount of the past due account for accounts that are turned over to a collection agency.

4. By submitting this application request, I authorize Central Georgia EMC to perform the necessary credit check to determine the security deposit requirement.