Forms & Applications

If you have problems viewing or downloading any of these forms, notify us at iub@iub.iowa.gov.

Sample Forms Routinely Filed with the IUB 

• Written Appearance
• Certificate of Service
• Petition to Intervene
• Waiver Request
• Motion
• Petition for Declaratory Order
• Petition for Rulemaking

Accounting

• W-9 Form

Customer Service

• How to File a Complaint About a Utility 
• How to Participate in an IUB Proceeding (General information)
• How to File a Comment in an Open Docket 
  (see also Instructions for Filing Comments or Objections)
• Lifeline Telephone Assistance Program Application (FCC form)
• Customer Contribution Fund Report  

Energy (Gas/Electric/Water)

• Natural Gas Feasibility Model for Expansions Undertaken Pursuant to IUB rule 19.3(10)(g)
• Certified Natural Gas Provider
  • Small Volume Users
  • Large Volume Users 
  • Vehicle Fuel Providers - see also Handbook of Requirements and Procedures
• Annual Report Forms - see How to File a Utility Annual Report webpage 

Rate Case Forms (chapter 26 rules)

• Customer Notice Forms
• Rate Case Schedule Template - Utilities having trouble with the spreadsheet should contact customer service at ITsupport@iub.iowa.gov. This spreadsheet is a general form and may not include specific cells for a utility's rate case filing.  Add the cells that include the calculations for your rate case filing. 
• Weather Normalization Model  (The numbers in the Heating Degree Days, Sales by Month, and Customers by Month columns are used as examples only.)

Safety & Engineering  

• Electric Transmission Line Franchise (E-Docket)

  • Petition
  • Amended Petition
  • Abbreviated Petition
  • Extension of Franchise
  • Exhibit C - Instructions 
  • Exhibit C - Underground Transmission Line
  • Exhibit C - Underground Bipolar HVDC Transmission Line 
  • Exhibit C Instructions - Underground Bipolar HVDC Transmission Line 
  • Exhibit C - Overhead Transmission Line 
  • Exhibit C - Overhead Bipolar HVDC Transmission Line

• Hazardous Liquid Pipeline Permit (HLP-Docket)

  • New Permit Form 
  • Renewal Permit Form 

• Natural Gas Pipeline Permit (P-Docket)

  • New Permit Form 
  • Renewal Permit Form
  • Exhibit C

• Railroad Crossing Specification Exhibits [199 IAC 42.3(1)]

  • Overhead Wireline Crossing 
  • Underground Wireline Crossing 
  • Nonflammable Pipeline Crossing
  • Flammable Pipeline Crossing 
  • Railroad Right of Way contact information

Telecommunications

• Annual Report Forms - see How to File a Utility Annual Report webpage
• Telecommunications Service Provider Registration form - Please review the IUB 24/7 for Telecommunications Companies webpage. 
• Lifeline Application (FCC form) - See the IUB Federal Lifeline and Affordable Connectivity Programs webpage
• Dual Party Relay Service (DPRS)

Video/Cable Franchises

• Instructions for Completing Application and Notice Forms for Certificates of Franchise Authority  
• Initial Application for Certificates of Franchise Authority 
• Notice of Renewal, Service Area Revision, Transfer, or Termination of Certificate of Franchise Authority