Michigan Residential Owner Agreement

This form is used to indicate how you would like energy service(s) provided to your residential rental property when it is between tenants. This information will be used to determine future billing responsibility when there is no tenant.

Indicates required form fields.

Property/Owner information

Property address line 1:
Property address line 2:
City:
State:
Zip:
Legal ownership name:
(Entity/person who is responsible for the bill between tenants per the agreement)
Project/division name (if applicable):
Owner address line 1:
Owner address line 2:
City:
State:
Zip:
Owner e-mail:
Owner phone: 000-000-0000
day

evening
Tax ID/SS#:

Please indicate how you would like billing responsibility for electric service handled between tenants by selecting one of the following owner agreement options. The agreement you select will apply to electric service at all rental units at this location. Please review the disconnection rules below prior to making your selection.

Option 1 — All year agreement
I accept billing responsibility for energy service between tenants. By selecting this option, I will be billed for all energy usage between tenants unless I notify We Energies otherwise.

Option 2 — Lock/disconnect agreement
I do not want to assume billing responsibility between tenants. I request We Energies terminate service to the rental dwelling unit. (See Disconnection Rules for additional requirements.)


Please mail the bills to:
my owner address shown above or
the address listed below:


Mail bills to address:


Street address line 1:
Street address line 2:
City:
State:
Zip:

Disconnection rules


If you choose to have service disconnected at meter(s) located inside a building or otherwise inaccessible location, you will need to provide us access to disconnect the service(s). Please contact us within 15 days of a tenant’s move to make arrangements for meter access. Under Michigan Public Service Commission’s administrative rules for disconnections, we are required to verify that residential premises are unoccupied before disconnecting service. After each tenant change, we need your written, notarized statement that the premises are unoccupied before we can disconnect service. After service is disconnected, a reconnection fee may be added to your account if you request reconnection in your name.


Apply to the following residential rental properties as well (please list)

Address line 1:
Address line 2:
City:
State:
Zip:

Address line 1:
Address line 2:
City:
State:
Zip:

Address line 1:
Address line 2:
City:
State:
Zip:


This property has been sold to
Name:
Date sold:
Address line 1:
Address line 2:
City:
State:
Zip:
Phone: 000-000-0000
I have never owned this property
I only manage this property

Property management company information (if applicable)


Name:
Contact name:
Phone: 000-000-0000
(Between tenants, bills will be mailed to this address)
Address line 1:
Address line 2:
City:
State:
Zip:
Fax number: 000-000-0000
Tax ID/SS#:
E-mail:

Name of person completing the form:
Completer Email:
Completer Phone: 000-000-0000
Form Date: mm/dd/yyyy