This Registration and Customer Information Request Form (“Form”) is applicable to the transmittal of Customer data to corporate authorities of municipalities, township boards, and county boards of counties (hereinafter, “Government Aggregator” or “GA”) located in Ameren Illinois Company d/b/a Ameren Illinois’ (hereinafter, "Ameren Illinois" or "Company") service territory operating an electric aggregation program in accordance with Section 1-92 of the Illinois Power Agency Act ("IPA Act") (20 ILCS 3855). For the purposes of this registration, the GA shall include authorized employees and agents of municipal, township, and county governments. In order to begin the process of Government Aggregation services with Ameren Illinois, please complete the form below in its entirety. If a question does not apply, please leave the field blank. GAs entering into an intergovernmental agreement to aggregate residential and small commercial retail electric load will require submittal of this Form by each respective GA.
To the extent certain information requested is not yet known or available, please leave the field blank until the information is known. The GA will need to update the Form via the Government Portal when the information becomes known or available. If the GA is just beginning the process and does not yet require customer account numbers, the Company requires, at a minimum, the contact information for the GA along with the completed Non-Disclosure Agreement (“NDA”).
The Form will need to be completed and all required fields completed, submitted and accepted by the Company prior to Ameren Illinois providing any customer information to the GA. This Form must be completed and verified by a government employee or official with authority to act on behalf of the GA and is as bound by this agreement as if the government employee or official executed this form by affixing his/her signature. In addition to this Form, a copy of the ordinance and/or referendum and certified results and the executed NDA are also required prior to the GA receiving customer-specific data.
Submittal of this Form shall constitute an official request for information pursuant to Section 1-92 of the IPA Act.
After submitting the completed Form, you will be contacted by an Ameren Illinois representative who will be your primary point of contact to assist you throughout the aggregation process.