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Register with APS - Begin Certification Process

Fill out and submit the Participant Information Form below to begin the process of obtaining APS certification.

NOTES

1.)	Use this form for "first-time" reqistration requests only. If you have already received your APS ESP Services web site user-ID/password and wish to review your current ESP Profile, select "Review Profile" from the ESP Registration section of the navigation menu on the left. If you need to update your current ESP Profile, please Contact Us.
2.)	The "" denotes required fields. All required fields must be provided and must pass reasonableness checks before this form can be submitted.*

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Participant Information Form

ESP - General Information

*Individual Name / Business Name

legal business name --- name of sole proprietor, partnership, or corporate name

Doing Business As (DBA) Name

name under which business is conducted (if different than legal name)

*Business Address

Street:
City:
State:
Zip/+4:
business headquarters address

Mailing Address

Street:
City:
State:
Zip/+4:
where correspondence and/or bills should be sent (if different than Business Address)

*Primary Business Contact

Name:
Phone/Ext:
Facsimile:
E-Mail
individual assigned as primary business contact for utility

Alternate Business Contact

Name:
Phone/Ext:
Facsimile:
E-Mail
individual assigned as alternate business contact for utility

*Dun & Bradstreet Number

9-digit or 13-digit number that utility will use as the unique identification number for the ESP

ACC Registration Number

4-digit registration number assigned by the ACC (if registered)

Renewable Certification Number

renewable provider certification number assigned by the ACC (if applicable)

*E-Mail Address

e-mail address for correspondence only

*Preferred Data Exchange Method

CSV DASR files / fixed-length CISR files
EDI 814 DASRs / EDI 867 CISRs

delivery method(s) APS will use for ALL DASR and CISR responses

Scheduling Coordinator(s) - General Information

*Scheduling Coordinator

Individual or Business Name	legal business name of this Scheduling Coordinator--- name of sole proprietor, partnership, or corporate name
Doing Business As (DBA) Name	name under which this Scheduling Coordinator will conduct business (if different than Individual or Business Name)
Dun & Bradstreet Number	9-digit or 13-digit number utility will use as unique identification number for this Scheduling Coordinator

Scheduling Coordinator who reports usage to the ISO for the ESP

Additional Scheduling Coordinator

Individual or Business Name	legal business name of this Scheduling Coordinator--- name of sole proprietor, partnership, or corporate name
Doing Business As (DBA) Name	name under which this Scheduling Coordinator will conduct business (if different than Individual or Business Name)
Dun & Bradstreet Number	9-digit or 13-digit number utility will use as unique identification number for this Scheduling Coordinator

additional Scheduling Coordinator who reports usage to the ISO for the ESP

MSP - General Information

Individual Name / Business Name

legal business name of Meter Service Provider --- name of sole proprietor, partnership, or corporate name

MRSP - General Information

Individual Name / Business Name

legal business name of Meter Reader Service Provider --- name of sole proprietor, partnership, or corporate name

Billing Agent - General Information (if applicable)

*NOTE:

Billing Agent information is optional, but if any field in this section is filled, all applicable fields in this section become required. If any Billing Agent "Mailing Address" or Billing Agent "Alternate Business Contact" fields are filled, all applicable Billing Agent "Mailing Address" and/or Billing Agent "Alternate Business Contact" fields become required as well.

Individual Name / Business Name

legal business name --- name of sole proprietor, partnership, or corporate name

Doing Business As (DBA) Name

name under which business is conducted (if different than legal name)

Business Address

Street:
City:
State:
Zip/+4:
business headquarters address

Mailing Address

Street:
City:
State:
Zip/+4:
where correspondence and/or bills should be sent (if different than Business Address)

Primary Business Contact

Name:
Phone/Ext:
Facsimile:
E-Mail
individual assigned as primary business contact for utility

Alternate Business Contact

Name:
Phone/Ext:
Facsimile:
E-Mail
individual assigned as alternate business contact for utility

Dun & Bradstreet Number

9-digit or 13-digit number that utility will use as the unique identification number for the Billing Agent

EDI 810 Invoice Delivery

specifies whether APS should deliver EDI 810 invoices to the ESP or directly to this Billing Agent (applies to ESP consolidated billing only)

E-Mail Address

e-mail address for correspondence only

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