Forms & 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 (Microsoft Word)

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

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)

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