Wisconsin 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:

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:
City:
State:
Zip:
Owner e-mail:
Owner phone: day
evening
 
Tax ID/SS#:

Please indicate how you would like billing responsibility for energy service(s) handled between tenants by selecting one of the following owner agreement options. The agreement you select will apply to both the electric and natural gas 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. I affirm that service termination will not endanger human health or life, or cause damage to property.


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

Mail bills to address:
Street address:  

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). Under Public Service Commission of Wisconsin rules for cold-weather disconnections, we are required to verify that residential premises are vacant before disconnecting natural gas and electric service between Nov. 1 and April 15. We will need access to both the living unit and the meter(s). Arrangements for this access must be made within 15 days of a tenant’s move to avoid being billed for energy services. After service is disconnected, a reconnection fee may be added to your account if you request reconnection in your name.

I would like this owner agreement to apply to the
following residential rental properties as well (please list)
Address:
City:  
State:  
Zip:
 

Address:  
City:  
State:  
Zip:  

Address:  
City:  
State:  
Zip:  

This property has been sold to
Name:
Date sold:
Address:
City:
State:
Zip:
Phone:
I have never owned this property
I only manage this property

Property management company information (if applicable)
Name:
Contact name:
Phone:
Address:

(Between tenants, bills will be mailed to this address)
City:
State:
Zip:
Fax number:
Tax ID/SS#:
E-mail:   

Name of person completing the form:
Completer Email:
Completer Phone:
Form Date: