Asap Resident Application Form PDF Details

The Asap Resident Application Form exemplifies a straightforward yet comprehensive approach for residents to initiate utility services within Entergy areas, particularly focusing on electric and gas provisions. This process, designed to streamline the connection of utilities without necessitating direct contact with Entergy, caters to residents' convenience by ensuring that both the deposit and final bill from previous accounts are seamlessly transferred to the new account. Applicants are advised to meticulously fill out the form, which requires personal, contact, and credit information, in addition to details regarding the service and mailing addresses. Furthermore, options for transferring services from another account, as well as inquiries about deposit requirements—which are determined through a check with Equifax—are integrated into the form. Entergy also offers additional services such as Budget Billing, to maintain consistent monthly payments, and Draw Draft for automated bill payments, highlighting their commitment to customer service and flexibility. The authorization section for releasing information to Entergy underscores the importance of consent and the intent to leverage the information for account management purposes. Signatures from both the applicant and, if applicable, a spouse or roommate, alongside the apartment representative's acknowledgment, are requisite for the form's completion, thus ensuring a collaborative and verified submission process.

QuestionAnswer
Form NameAsap Resident Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesentergy, asap application, asap form, entergy bill form

Form Preview Example

ASAP

Apartment Simplified Application Plan

Resident Application Form

Electric

Gas (In Entergy Areas Only)

Electric & Gas (In Entergy Areas Only)

WELCOME TO ENTERGY. Your application will be processed without the need to contact us. When transferring, your deposit and final bill will transfer to your new account. (Your apartment manager will fax this completed form to Entergy at 1-800-711-8049.) To avoid delays, please complete all information. Please print.

Applicant’s Full Name: ______________________________________________________New Telephone: ___________________

Service Address: _________________________________________________________________ Date to Start Service: ________________

City: ___________________________ State: ____________ Zip Code: _______________ Contact Phone: _________________________

Mailing Address: _________________________________________ City: ________________ State: ______ Zip Code: ________________

Credit Information

(Provide mailing address if different from service address)

APPLICANT

Date of Birth: ___________________________________________

Social Security #: ________________________________________

Driver’s License #: _______________________ State: __________

Employer: ______________________________________________

Work Telephone: ________________________________________

SPOUSE/ROOMMATE

Date of Birth: ___________________________________________

Social Security #: ________________________________________

Driver’s License #: _______________________ State: __________

Employer: ______________________________________________

Work Telephone: ________________________________________

Address moving from: _______________________________________ City: ___________________ State: ______ Zip Code: __________

Do you want to transfer your service from another account with Entergy? ____________ No _____________ Yes

Date to discontinue service at address you are moving from: __________________________________________

Deposits: Entergy will check with Equifax to determine if a deposit is necessary. If a deposit is required, it will appear on your first bill. Deposit confirmation will be mailed within 5 to 10 days upon receipt of application.

Would you like Entergy to send Information for the following services?

Budget Billing – To help you stay within your monthly budget, we can average out your electric bill so you pay roughly the same

amount all year long.

Draw Draft – Enrollment allows your monthly bill payment to be automatically drafted from your account.

** I authorize the release of this information to Entergy for establishing and updating my account.

____________________________________________

_____________________________________________________

Date Completed

Spouse/Roommate Signature

____________________________________________

_____________________________________________________

Applicant Signature

Apartment Representative

 

 

_____________________________________________________

 

 

Apartment Fax Number

 

 

Entergy Use Only:

 

 

_______________________________

 

 

Effective Date

 

THE POWER OF PEOPLE

 

 

 

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A way to fill out asap application portion 1

2. Soon after filling in this step, go to the subsequent stage and fill out the necessary particulars in these blank fields - Do you want to transfer your, Date to discontinue service at, Deposits Entergy will check with, Would you like Entergy to send, amount all year long Draw Draft , I authorize the release of this, Date Completed, Applicant Signature, Entergy Use Only, SpouseRoommate Signature, Apartment Representative, Apartment Fax Number, Effective Date, and THE POWER OF PEOPLE.

Apartment Fax Number, Applicant Signature, and Date Completed of asap application

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