Forms and Applications

The document format (file type) is indicated in parentheses after the document name. If you have problems viewing or downloading any of these forms, please notify us at iub@iub.iowa.gov, attention Web Team.

Sample Forms for Documents Routinely Filed with the IUB (all are PDFs)

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

Accounting

• W-9 Form (PDF)

Customer Service

• File a Complaint About a Utility 
• How to Participate in an IUB Proceeding (General information)
• How to File a Comment in an Open Docket 
• Public Information Brochure(s) (online order form)
• Lifeline Telephone Assistance Program Application (FCC form)
• Customer Contribution Fund Report (fiscal year 2022 now available) 

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 (MS Word)
  • Large Volume Users (MS Word)
  • Vehicle Fuel Providers (MS Word) - see also Handbook of Requirements and Procedures
• Annual Report Forms - see How to File a Utility Annual Report webpage 

Rate Case Forms (New with chapter 26 rules, June 2021)

• Customer Notice Forms (PDF)
• Rate Case Schedule Template (Excel) - 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 (all documents in MS Word format unless otherwise noted)

• Electric Transmission Line Franchise (E-Docket)

  • Petition
  • Amended Petition
  • Abbreviated Petition
  • Extension of Franchise
  • Exhibit C - Instructions - Updated July 2019
  • Exhibit C - Overhead Transmission Line - Updated June 2020
  • Exhibit C - Underground Transmission Line
  • Exhibit C - Underground Bipolar HVDC Transmission Line - New June 2020
  • Exhibit C Instructions - Underground Bipolar HVDC Transmission Line - New June 2020
  • Exhibit C - Overhead Bipolar HVDC Transmission Line
  • Suggested Form for Filing Comments or Objections - Updated March 2020
    (see also Instructions for Filing Comments or Objections)

• Hazardous Liquid Pipeline Permit (HLP-Docket)

  • New Permit Form - Updated September 2022
  • Renewal Permit Form - Updated September 2022
  • Suggested Form for Filing Comments or Objections - Updated March 2020
    (see also Instructions for Filing Comments or Objections)

• Natural Gas Pipeline Permit (P-Docket)

  • New Permit Form 
  • Renewal Permit Form
  • Exhibit C
  • Suggested Form for Filing Comments or Objections - Updated March 2020
    (see also Instructions for Filing Comments or Objections)

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

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

• Railroad / Utility Emergency

  •  Contact Information form (Numbers in the Heating Degree Days, Sales by Month, and Customers by Month on the form are used for example only.)

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 Lifeline Telephone Assistance Program webpage
• Dual Party Relay Service (DPRS)

Video/Cable Franchises

• Instructions for Completing Application and Notice Forms for Certificates of Franchise Authority (PDF) - Updated May 2018 
• Initial Application for Certificates of Franchise Authority (MS Word)
• Notice of Renewal, Service Area Revision, Transfer or Termination of Certificate of Franchise Authority (MS Word) - Updated August 2018