KU Business Service Center - ODP Summary Billing Application

Please supply all requested information. All fields are required except as noted on form. Incomplete applications cannot be processed.

Call (800) 383-5582 or (859) 367-1200 for assistance in filling out the form.

Company Name:
Address:
City, State, Zip Code:
Preferred Format: Summary Bill and Service Location Detail Only* Summary Bill, Service Location Detail and Actual Bills *By selecting this option, I understand I will no longer recieve billing detail other than the following: rate type, date meter was read, previous and present reading, multiplier usage and amount billed for each account. Any additional information will be made available upon my request to ODP.
Contact Name:
Dept./Title:
Telephone/Ext.:
FAX:
E-mail Address:
Please provide account numbers and their respective service address as they appear on your current ODP bills for each individual account you include on Summary Billing. A minimum of five account numbers are required for Summary Billing.
	Account Number:	Service Address:	Your I.D. Code (up to 20 characters):
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