Unclaimed Capital Credits Request

If your name is on our Unclaimed Capital Credits List, you can request to have your capital credits paid out to you by completing the form below. Staff will be in touch with you to confirm your identity and initiate the payment process.

Please confirm: is your name on FEC's list of Unclaimed Capital Credits?

Yes, my name is on the listNo, my name is not on the list

Search our Unclaimed Capital Credit Lookup Tool to confirm that your name is on the list before completing this form.

Member Information

First Name

Middle Name

Last Name

(At the time of membership)

Date of Birth

Last Four Digits of Social Security Number

Address where you received electric service from Flathead Electric Co-op

Street Address

City

Current Contact Information

Current Phone

Current Email

Mailing Address

City

State

Zip Code

Unclaimed Capital Credits Donation Details

Some members choose to donate (assign) their unclaimed capital credits to another designee, especially if the amount is very small. If your unclaimed capital credit amount is $10 or less, would you like to designate it to one of the following causes?

No, I'm not interested in assigning my unclaimed capital credits to another designee.Yes, if my capital credits are $10 or less, please donate to FEC's Community Education Fund (supports scholarships and other education-related projects).

Yes, if my capital credits are $10 or less, please donate to FEC's Roundup for Safety Program (funds safety projects for non-profit organizations in our community).

Yes, if my capital credits are $10 or less, please donate to FEC's Keep the Lights On Program (low-income energy assistance funds).

Primary Account Holder Authorization

Acknowledgement

I hereby verify the above information to be true and complete. I understand that by typing my full name above pressing the Submit button below, this application will be stamped with today's date and authorized by me as if I had signed my Signature

Primary Account Holder Electronic Signature (Full Name)

Salesforce Required Fields

Program ID

Record Type Name

FEC Form Owner Email