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Indiana Utility Regulatory Commission

IURC > IURC Forms IURC Forms

Communications

50489
Local Competition Survey
Download Form: 50489 (Non-Fillable PDF)

50496
Public Utility Fee Report – Telecommunications
Download Form: 50496 (Fillable PDF)

50739
Verified Notice of Change in a Certificate of Territorial Authority to Provide Communications Services within the State of Indiana
Download Form: 50739 (Fillable PDF)

52648
Application for a Certificate of Territorial Authority for Communications Service Providers
Download Form: 52648 (Fillable PDF)

52714
Application and Notice of Service Cessation and Relinquishment of Provider of Last Resort Obligations Within the State of Indiana
Download Form: 52714 (Fillable PDF)

Consumer Affairs Division

50488 - Complaint Form
Download Forms: 50488 (Word Version) | 50488 (PDF Version)
Electronic Form: File a Complaint Online

54179 - Request for Director Review of Analyst's Decision
Download Form: 54179 (Fillable PDF)

Electric

50492 - Public Utility Fee Report - Electric Utilities Filing Class A-B Reports
Download Form: 50492 (Fillable PDF)

50493 - Public Utility Fee Report - Electric Utilities Filing Class C-D Reports
Download Form: 50493 (Fillable PDF)

54640 - Public Utility Report - Utility Steam Plants
Download Form: 54640 (Fillable PDF)

54646 - Report of Outage
Download Form: 54646 (Fillable PDF)

Natural Gas

50494 - Public Utility Fee Report - Gas Utilities Filing Class A-B Reports
Download Form: 50494 (Fillable PDF)

50495 - Public Utility Fee Report - Gas Utilities Filing Class C-D Reports
Download Form: 50495 (Fillable PDF)

Pipeline Safety Division

54122 - Damage Information Report – Pipeline Safety Division
Download Form: 54122 (Fillable PDF)

54641 - Report of Violation of IC 8-1-26 – Damage to Underground Facilities
Download Form: 54641 (Fillable PDF)

54909 - Information Request
Download Form: 54909 (Fillable PDF)

54952 - IURC Pipeline Safety Annual Report
Download Form: 54952 (Fillable PDF)

Video Services

52712 - Application for a Certificate of Franchise Authority to Provide Video Service in the State of Indiana
Download Form: 52712 (Fillable PDF)

52713 - Notice of Change to Existing Certificate(s) of Franchise Authority to Provide Video Service in the State of Indiana
Download Form: 52713 (Fillable PDF)

55122 - Video Franchise Fee Report
Download Form: 55122 (Fillable PDF)

55333 - Application for Direct Marketing Authority by a Video Service Provider in the State of Indiana
Download Form: 55333 (Fillable PDF)

Water/Sewer

50497 - Public Utility Fee Report - Water Utilities Filing Class A or B Reports
Download Form: 50497 (Fillable PDF)

50498 - Public Utility Fee Report - Class C Water Utility
Download Form: 50498 (Fillable PDF)

50499 - Public Utility Fee Report - Rural Wastewater Utility Reports - Class A, B, and C
Download Form: 50499 (Fillable PDF)

54663 - Application for Sewer Tracker
Download Form: 54663 (Fillable PDF)

54669 - Water Tracker Application
Download Form: 54669 (Fillable PDF)

54670 - Application for a Certificate of Territorial Authority to Render Sewage Disposal Service
Download Form: 54670 (Fillable PDF)

55146 - Annual Water Utility Resource Report
Download Form: 55146 (Fillable PDF)