Service Provider Portal

Umbrella Contract

Agreement W-9 Form Template

Business Name, if different from above

Are you a public organization?* Yes No

Corporate Address

Street 1 *

Street 2

City *

State *

Zipcode *

Mailing Address

Same as Corporate Address

Street 1 *

Street 2

City *

State *

Zipcode *

Primary Contact details

First Name *

Last Name *

Email Address *Not a valid e-mail address

Title *

Work Phone No * -

Mobile Phone No

Desired User Id *

Use alphanumeric (A-Z, a-z, 0-9) and Special characters limited to (-,_)

Do you have affiliates ? Yes No

Federal Tax Id * (XX-XXXXXXX)

(Or)

Social Security Number * (XXX-XX-XXXX)

Enter Federal Tax Id (or) Social Security Number

Company Name *

Contact Details

First Name *

Last Name *

Title

Work Phone No * -

Email Address *Not a valid e-mail address

Mobile Phone No

Mailing Address

Street1 *

Street2

City *

Zipcode * (XXXXX-XXXX)

Do you have Sub Contractor ? Yes No

Federal Tax Id * (XX-XXXXXXX)

(Or)

Social Security Number * (XXX-XX-XXXX)

Enter Federal Tax Id (or) Social Security Number

Company Name *

Additional Info

Contact Details #1

First Name *

Last Name *

Title

Work Phone No * -

Email Address *Not a valid e-mail address

Mobile Phone No

Mailing Address

Street1 *

Street2

City *

Zipcode * (XXXXX-XXXX)

Do you have Employee ? Yes No

Employee Name *

Title *

Business Address(Street) *

City *

State*

Zipcode *

Date of Birth

Employment Start Date *

Employment End Date

Phone *

Mobile *

Email *Not a valid e-mail address

Comments

Attach the photo

Attach Photo 0 KB

Commercial Service Provider doesn't required photo

Employee List Certification

Employee Name

Certificate / Licence Name *

Issue Date*

Expiry Date *

Description*

Attach*

ONCOR ELECTRIC DELIVERY COMPANY LLC,

a Delaware limited liability company

Name

Title
Energy Efficiency – Manager

Date

Company Name :

I am authorized to execute this agreement on behalf of the company

First Name *

Last Name

Title *

Date * (MM-DD-YYYY)

Address for notices:

Name
Oncor Electric Delivery Company LLC

Address
Oncor Energy Efficiency, 1616 Woodall Rodgers Frwy Dallas, TX 75202

Phone

Attn

Address for notices:

Name

Address

Phone

Federal Tax ID/ Social Security Number

Attn

By checking this box, I ( ) acknowledge that I have read this Agreement, accept the Terms and Conditions it contains and I am authorized to execute this Agreement as of the date shown. Check in the checkbox for Confirmation.

Preview And Submit

UC_Agreement

Company Name:

Federal Tax Id:

Social Security Number:

Business Name:

Are you a public organization? Yes No

Company Information

Corporate Address

Street 1:

Street 2:

City:

State:

Zipcode:

Mailing Address

Street 1:

Street 2:

City:

State:

Zipcode:

Primary Contact Details

First Name:

Last Name:

Email Address:

Title:

Work Phone No:

Mobile Phone No:

Desired User Id:

You have now begun applying for the Umbrella Contract. You will be required to read the umbrella contract agreement and provide your company information in the application. Your umbrella contract application will be reviewed by Oncor for approval, upon which you will automatically receive an email notification containing a username and password to login to EEPM. This is not an application. This is a required agreement to conduct business with Oncor. After this agreement is approved, you will have the opportunity to apply to participate in programs.

(866) 258-1874

eepmsupport@oncor.com

Umbrella Contract

How did you hear about us?

Company Information *

Corporate Address

Mailing Address

Primary Contact details

Principal Owners List *

Corporate Contact List *

Vendor Document *

Qualification *

Affiliates *

Contact Details

Mailing Address

Sub Contractor *

Contact Details #1

Mailing Address

Employee *

ONCOR ELECTRIC DELIVERY COMPANY LLC,

I am authorized to execute this agreement on behalf of the company

Address for notices:

Address for notices:

Preview And Submit

Company Information

Corporate Address

Mailing Address

Primary Contact Details

Principal Owners List

Corporate Contact List

Vendor Document

Qualification

Affiliates

Sub Contractor

Employee

(866) 258-1874

eepmsupport@oncor.com

Umbrella Contract

How did you hear about us?

Company Information *

Corporate Address

Mailing Address

Primary Contact details

Principal Owners List *

Corporate Contact List *Please subscribe one corporate contact user for communicating.

Vendor Document *

Qualification *

Affiliates *

Contact Details

Mailing Address

Sub Contractor *

Contact Details #1

Mailing Address

Employee *

ONCOR ELECTRIC DELIVERY COMPANY LLC,

I am authorized to execute this agreement on behalf of the company

Address for notices:

Address for notices:

Preview And Submit

Company Information

Corporate Address

Mailing Address

Primary Contact Details

Principal Owners List

Corporate Contact List

Vendor Document

Qualification

Affiliates

Sub Contractor

Employee

Corporate Contact List *