Utility Forms
Forms For All Utilities
- Meeting Request Form: (Word format)
- Adoption Notice: (PDF format), (Word format)
- ARF Form 1 – Alternative Rate Filing Application
- ARF Form 2 – Notice of Election for Electronic Filing
- ARF Form 1 - Attachment I - Instructions
- ARF Form 1 - Attachment SR - Reasons for Application
- ARF Form 1 - Attachment CPR - Current and Proposed Rates
- ARF Form 1 - Attachment SAO-G - Schedule of Adjusted Operations - Gas Utility
- ARF Form 1 - Attachment SAO-S - Schedule of Adjusted Operations - Sewer Utility
- ARF Form 1 - Attachment SAO-W - Schedule of Adjusted Operations - Water Utility
- ARF Form 1 – Attachment OME-1 - Sewer Operations and Maintenance Expenses
- ARF Form 1 - Attachment RR-DC - Revenue Requirement Calculation Form - Debt Coverage
- ARF Form 1 - Attachment RR-OR - Revenue Requirement Calculation Form - Operating Ratio Method
- ARF Form 1 - Attachment BA-DB - Billing Analysis Form - Declining Block Rates Instructions
- ARF Form 1 - Attachment BA-FR - Billing Analysis Form - Flat Rates
- Pursuant to 807 KAR 5:006, Section 4(2), for reporting years 2012 and forward, every utility shall file annually using the commission’s electronic filing system a financial and statistical report on or before March 31 of each year. Should you have any questions, please email PSC.Reports@ky.gov
- Alternative Rate Filing (ARF): (PDF File), (Word File)
- Authority to Adjust Rates - Sewage Utility (Historical Test Period): (PDF File), (Word File)
- Decrease in Revenue of an Electric Cooperative: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Construction: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Construction - Incumbent Local Exchange Carriers: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Construction - Sewers Only: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Construction - To Construct Antenna Towers for Cellular Telecommunications Services or Personal Communication Services in Jurisdictions Without a Planning Commission: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Federally Funded Construction Projects: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Initial Operations With Tariff: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Initial Operations Without Tariff: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Transmission Line of 138 kilovolts or more and more than 5280 feet in length - Notice of Intent: (PDF File), (Word File)
- Certificate of Public Convenience and Necessity - Transmission Line of 138 kilovolts or more and more than 5280 feet in length: (PDF File), (Word File)
- Farm-Tap Rate Adjustment: (PDF File), (Word File)
- Financing: (PDF File), (Word File)
- General Rate Case Using a Fully-Forcasted Test Period (Except Sewers): (PDF File), (Word File)
- General Rate Case Using Historical Test Period (Except Sewers): (PDF File), (Word File)
- Non-Recurring Charges: (PDF File), (Word File)
- Notice of Intent to File: (PDF format), (Word format)
- Application for a Merchant Electric Generating Facility Construction Certification: (PDF Format), (Word format)
- Application for a Nonregulated Electric Transmission Line Construction Certification: (PDF Format), (Word format)
- Purchased Water Adjustment - Privately Owned Companies: (PDF File), (Word File)
- Purchased Water Adjustment - Water Districts & Associations: (PDF File), (Word File)
- Initial Approval of Water District Commissioners' Training Program: (PDF File), (Word File)
- Transfers: (PDF File), (Word File)
- Investor-Owned Electric Utilities: (PDF format), (Word format)
- Rural Electric Utilities: (PDF format), (Word format)
- Gas: (PDF format), (Word format)
- Radio-Telephone Utilities: (PDF format), (Word format)
- Cellular Telephone Utilities: (PDF format), (Word format)
- Personal Communication Services (PCS) Utilities: (PDF format), (Word format)
- Local Exchange Carriers (LEC):: (PDF format), (Word format)
- Competitive Local Exchange Carriers (CLEC): (PDF format), (Word format)
- Long Distance Telecommunication Utilities: (PDF format), (Word format)
- Operator Services Telecommunication Utilities: (PDF format), (Word format)
- Privately-Owned Water Utilities: (PDF format), (Word format)
- Water Districts: (PDF format), (Word format)
- Water Associations: (PDF format), (Word format)
- Sewer: (PDF format), (Word format)
- Nonrecurring Charge Cost Justification: (PDF format), (Word format)
- Notice of Election to use Electronic Filing Procedures: (PDF format)
- Open Records Request Form: (PDF Format), (Word format)
- Tariff Form: (PDF format), (Word format)
- Investor-Owned Electric Utilities
- Rural Electric Utilities
- Gas - Class A & B
- Gas - Class C
- Telephone
- Revised 2002 - Water Companies - Class A & B
- Revised 2002 - Water Companies - Class C
- Revised 2002 - Water Districts/Associations - Class A & B
- Revised 2002 - Water Districts/Associations - Class C
- Sewer Utilities (9.77MB)
Electric Specific Forms
- Annual Distribution Reliability Form
- Notice of Intent to File: (PDF format), (Word format)
- Application for a Merchant Electric Generating Facility Construction Certification: (PDF Format), (Word format)
- Application for a Nonregulated Electric Transmission Line Construction Certification: (PDF Format), (Word format)
- Quarterly Electric Meter Testing Report: (PDF format), (Word format)
Gas Specific Forms
- Gas Well Determination Application: (PDF format), (Word format)
- Quarterly Meter Reports: (PDF format)
- Quarterly Report of Gas Cost Recovery Rate Calculation: Blank form in Word format, Blank form in PDF format
- Incident Reporting procedures
- Cover Letter - Incident Reporting Procedure - 2011
- Emergency Notification Guidelines - 2011
- Emergency Contact Information Form – 2011
- Incident Report Form - 2011
- Incident Reporting Regulations
- Acknowledgement of Receipt Form - 2011
- Incident Reporting Procedures Packet - 2011.doc (Contains all of the above-listed forms)
Telecom Specific Forms
- Information Form Pursuant to KRS 278.541 - 278.544: (PDF format), (Word format)
- Public Interest Payphone Application: Blank form in Word format Blank form in PDF format
- To make a Relay Call, most people (TDD users and hearing people) just need to dial 7-1-1. For more details and to see what other features of the Kentucky Relay Service might be best for you, please visit the Kentucky Relay Website.
- For information about the Telecommunications Access Program please visit the Kentucky Commission on the Deaf and Hard of Hearing's website
- TRS/TAP Electronic Filing Letter
- Instructions For TRS/TAP Electronic Filing
- Administrative Case No. 372 Decisions
- 2008 Forms: (PDF format), (Word format), Instructions (pdf format)
- Administrative 360 Commission Decisions
- FCC Universal Service Article
Water Specific Forms
- Average Meter Connnection Expense Cost Justification (Tap Fee): (PDF format), (Word format)
- PSC Guidance on Municipal Utility Rate Adjustment (letter of 12/18/98) (PDF format)
- Purchased Water Adjustment (Privately Owned Companies): (PDF format), (Word format)
- Purchased Water Adjustment (Water Districts and Associations): (PDF format), (WordPerfect format), (Word format)
- Quarterly Water Meter Testing Report: (PDF format), (Excel format)
- Water Storage Inspection: (PDF format), (Word format)
- Water Storage Requirement Deviation Request: (PDF format), (Word format)
- Water Use & Loss Calculations: (Excel format), Components of a Water Loss Prevention Plan
- Water Utility Inspection Checklist: (PDF format), (Word format)
- Water Utility Inspection Procedures Outline: (PDF format), (Word format)
Sewer Specific Forms
- Safety Manual
- Sewer Daily Log: (PDF format), (Excel Format)
- Sewer Inspection Procedures: (PDF Format), (Word format)



