Unclaimed Capital Credit Verification Form

As a not-for-profit electric distribution cooperative, all revenues received through our rates, beyond our costs for providing electric service, remain the property of our members. At the end of the year, the Cooperative allocates a share of the electric service margins to each member, based upon usage, in the form of patronage capital. Patronage capital is used to maintain and improve the distribution system and should be viewed as the member-owners’ equity investment in the Cooperative’s physical plant.

Each year, the Board of Directors determines if the Cooperative will refund a portion of patronage capital to the members. This refund of capital credits is one of the benefits of being a cooperative member.

If your name was published in CVEC’s Unclaimed Capital Credit listing and you would like to apply for those credits, fill out the form below.

Company

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Name(Required)

First Last

Account Number

Approximate Date Service Was Disconnected(Required)

Last CVEC Address(Required)

Street Address City State ZIP Code

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Current Phone Number(Required)

Email(Required)

Comments

Member Electronic Signature (Full Name)(Required)