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.

Accounting

• W-9 Form (PDF)

Sample Forms for Documents Routinely Filed with the Board

• Application for Rehearing
• Certificate of Service
• Motion
• Motion to Reopen Hearing
• Petition for Declaratory Ruling
• Petition to Intervene
• Waiver Request
• Written Appearance

Customer Service

• Complaint Form (online form)
• Public Information Brochure(s) (online order form)
• Lifeline Telephone Assistance Program Application  (FCC form)
• Customer Contribution Fund report form for fiscal year 2019 is now available 

Energy (Gas/Electric/Water)

Natural Gas Feasibility Model for Expansions Undertaken Pursuant to 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 

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 July 2019
• Exhibit C - Underground Transmission Line
• 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)

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)

Hazardous Liquid Pipeline Permit (HLP-Docket)

• New Permit Form
• Renewal Permit Form
• 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 - updated 01/22/2017)

Railroad / Utility Emergency - Contact Information form

Telecommunications

• Annual Report Forms - see Filing an Annual Report webpage
• Telecommunications Service Provider Registration form (MS Word)
• Lifeline Application (FCC form) - See the Lifeline Telephone Assistance Program webpage for more information
• Dual Party Relay Service (DPRS) Quarterly Assessment Form

Video/Cable Franchises

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