Business Certification of Entitlement Form

You may also download the Business Certification of Entitlement Form (PDF).

Name(Required)

First Last

Business Account Name(Required)

I hereby make claims to the capital credits allocated by Golden Valley Electric Association, Inc. to the account listed above for the following years:(Required)

Upload legal documentation to support and validate claim for ownership of capital credits(Required)

Max. file size: 300 MB.

Claimant Electronic Signature (Full Name)(Required)

Mailing Address of Claimant(Required)

Street Address Address Line 2 City State ZIP Code

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Phone

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