Please complete form, upload qualifying military duty documents, income verification and sign for protection from disconnection. 

Member Contact

To be considered for Military Service Personnel protection, please include proof of your household's monthly or annual gross income after orders are effective and proof of qualifying military duty, such as a copy of PCS orders. 

Select the type of income verification enclosed with this application for all persons in your home

This is a declaration of my inability to pay for electric service. I am willing to make the following payment arrangements with Crow Wing Power to pay my electric bill. 

How often?
This information is true and correct. I give permission to Crow Wing Power to exchange billing information with my other energy providers, or the public assistance agency that serves me, for the purpose of program qualification.
If you are the "Third Party" on behalf of the customer named above, please sign below. 
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.