CARE Agreement Form

In response to the COVID pandemic and the financial hardship faced by many BECi members, the cooperative established the COVID-19 Arrangement and Relieft Extention (CARE) Agreement. If you choose this repayment option, your past due amount will be divided into 12-monthly installments and those installments will be added to your monthly electric bill. All CARE repayment installments must be paid in full by July 16, 2021. See the example below.

Past Due Amount 12-month installment amount Amount to be Paid through CARE Repayment Plan
$500 $41.66 Normal monthly electric bill + $41.66

If the electric bill or repayment amount is not paid at any time between the date of the arrangement and July 16, 2021, the meter will be disconnected for non-payment and all outstanding balances will have to be paid before reconnection. 

If you choose this repayment option, you must contact BECi before the indicated due date and make a customer service representative aware that you have chosen the CARE Repayment option. You and the customer service representative must complete the CARE Agreement Form before you will be considered to be in repayment. 

 
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Please complete the following form in order to enroll in the CARE Repayment Agreement. You must submit this form or contact a BECi representative before your due date in order to be enrolled in the program. The agreement must be electronically signed by the member by typing your full name in the bottom space. This e-signature will serve as a binding agreement between BECi and the member.

The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

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Following is the body of the CARE Repayment Agreement. The form can be filled by completing the spaces BELOW the body of the agreement.

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COVID-10 Arrangement & Relief Extension Agreement

I, (Member Name) have discussed my outstanding balance of (Outstanding Balance) with a Beauregard Electric Representative, and I agree to pay this amount in the following installments (up to 12 months).

Total Balance (Outstanding Balance)

Total balance is to be paid in (Total Number of Monthly Installments) equal monthly installments of (Monthly Repayment Amount).

Due on the (Due Date) of each month,

and a final installment (Final Installment Payment) on (Final Payment Date).

The above agreement was made in good faith between said member and Beauregard Electric Cooperative, Inc. It is understood by both parties that if said agreement is not kept, then BECi will enforce normal collection procedures and service may be disconnected without further notice. I understand that the repayment balance will be shown each month as a “past due” balance and not reflected on the bill as a separate charge and it is my responsibility to keep up with payments.

I understand the amounts financed for the periods noted will be added to my monthly electric bill and that if I do not pay the above amounts, in addition to my monthly electric bill, when due, my meter will be disconnected without further notice and all outstanding amounts will be due and payable.

The agreement must be electronically signed by the number by typing your full name in the bottom space. This e-signature will serve as a binding agreement between BECi and the member.

The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

PLEASE TYPE YOUR FULL NAME AND SUBMIT THE LAST FOUR DIGITS OF YOUR SSN FOR CONFIRMATION OF YOUR IDENTITY