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
Online Complaint Form
Click here: http://www.in.gov/iurc/consumer/complaint_form.html
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)
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