Organization Information
Organization Legal Name:
Desired Master Account Name:		Use Organization Legal Name UNLESS you will be submitting multiple registrations for the same organization (Master Account Names must be unique).
Organization Other Name:
EIA Utility Code:
GADS Utility Code:
TSIN Acronym:
Sector/Category:		Select a Category Cooperative Customer Federal/State IOU Marketer Merchant Electricity Generators Municipal N/A Other RTO/ISO
Corporate Mailing Address:
Corporate Mailing Address 2:
City:
State:		Select a Corporate Mailing State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC ON
Zip Code:
Organization Registration Contact Information (This is an individual that can be contacted for questions about your registration information.)
First Name:
Last Name:
Title:
Phone Number:
Fax #:
Email:
Authorized Entity Officer Information (This is an officer in the organization that can be contacted regarding the organization’s registration status.)
First Name:
Last Name:
Title:
Mailing Address:
Mailing Address 2:
City:
State:		Select an Authorized Entity State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC ON
Zip Code:
Phone Number:
Fax Number:
Email:
Registration Information
Functions Performed in SERC Region:		Balancing Authority Distribution Provider Generator Operator Generator Owner Interchange Authority Load-serving Entity Planning Authority Purchasing-Selling Entity Reliability Coordinator Reserve Sharing Group Resource Planner Transmission Operator Transmission Owner Transmission Planner Transmission Service Provider Regional Entity Link to Registration Criteria/Function Definitions
Date upon which operation commenced or will commence:
Region Affiliation (Please indicate each Region in which the entity is a member):		ERCOTFRCCMRONONENPCC RFCSERCSPPWECC
Multi-Region Operations (Please indicate each Region in which the entity operates and/or owns facilities):		ERCOTFRCCMRONPCCRFC SERCSPPWECC
Comments pertinent to this registration: Additional Questions for Load-Serving Entities, Distribution Providers, and Generator Owners/Operators: A. Load Serving Entities and Distribution Providers please provide the following:
Peak Load:		Less than/equal 25 MW Greater than 25 MW
Voltage at which connected to Bulk-Power System:		Select a Voltage 100 115 138 161 230 345 44 500 69 765
Transmission Owner to which Load Serving Entity or Distribution Provider is Connected:		Select a Transmission Owner Alabama Electric Cooperative, Inc. Alabama Power Company Ameren APGI - Tapoco Division APGI - Yadkin Division Associated Electric Cooperative, Inc. Big Rivers Electric Corporation Blue Ridge Electric Membership Corporation Caledonia Generating LLC Catalyst Old River Hydroelectric Limited Part. Central Electric Power Cooperative Inc Citizens Electric Corporation City of Columbia, MO City of Springfield, IL - CWLP Dalton Utilities Duke Energy Carolinas E.ON U.S. Services Inc. for LG&E & KU Companies East Kentucky Power Cooperative East Texas Electric Cooperative Inc. Electric Energy, Inc. Entergy Fayetteville Public Works Commission Georgia Power Company Georgia Transmission Corporation Gulf Power Company Henderson Municipal Power & Light Louisiana Generating, LLC LSP Energy Limited Partnership Mississippi Power Company Municipal Electric Authority of Georgia N.C. Electric Membership Corp. PowerSouth Energy Cooperative Prairie Power, Inc. Progress Energy Carolinas Sam Rayburn G&T Electric Cooperative Inc. South Carolina Electric & Gas Company South Carolina Public Service Authority South Mississippi Electric Power Association Southern Illinois Power Cooperative Southern Power Company Tennessee Valley Authority Tex-La Electric Cooperative of Texas, Inc. USACE - Charleston, SC District USACE - Mobile District USACE - Nashville District USACE - Savannah District USACE - Wilmington District Virginia Electric and Power Company (DP, LSE, TO, TP)
Entity is responsible for, or owns, controls, or operates facilities that are part of any of the following protection systems or programs designed, installed, and operated for the protection of the Bulk-Power System: a required underfrequency load shedding (UFLS) program, a required undervoltage load shedding (UVLS) program, a required special protection system, or a transmission protection system:
		YesNo
B. Generator Owner/Operators please provide the following:
Individual Unit Size:		Less than/equal 25 MVA Greater than 25 MVA
Generating Plant/Facility Size:		Less than/equal 75 MVA Greater than 75 MVA

SERC Web Portal Requirements for Organizations Being Registered

All organizations registering for the first time are required to establish a new SERC Portal account and designate a Master Account Administrator (MAA). The duties and responsibilities of these individual are:

(Note: These responsibilities are Member specific and there may be multiple master account Administrators per company, we only need the name of one on this form.)

1. Become the Point Of Contact for users (Contacts / Member employees assigned to fill out and submit compliance forms) and for the SERC Portal Administrators.
2. Create new users (Contacts / Member employees assigned to fill out and submit compliance forms) under the Member account (Master Account).
3. Edit existing users (Contacts / Member employees assigned to fill out and submit compliance forms) under the Member account (Master Account).
4. Assign Security Permissions to new and existing users described above to various sections of the system (EIA 411/860/compliance/outage, etc.).
5. Reset Passwords for users, if necessary.

MAA First Name:
MAA Last Name:
Preferred Username:
MAA Address:
MAA City:
State:		Select an Administrator State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC ON
Zip Code:
Phone:
Email: