Please read the instructions below before you fill in the applications.
(Applications are located below the requirements information.)
Please view the Service Area page if you are unsure which application to fill in.
Apply Online Here
Download or Print PDF Application
Download Medical Form
View Rates
Apply Online Here
Download or Print PDF Application
Download Medical Form
View Rates
In an effort to do our part to stop the spread of COVID-19 and for the health of our customers and employees, the office is closed until further notice. Please use the brown drop box to the right of the office door or our website to make your payment.
If you are inquiring about your bill, please call 608-296-2149 from 8 am to 5 pm Monday through Friday. Please be able to provide your account number and security code to obtain information regarding your account.