NIPSCO Extra Service Protection - E.S.P. Enrollment Form

Furnace/Boiler

Space Heater

Water Heater

Central Air Conditioning

Heat Pump

Inside Gas Line

Inside Electric Line

Inside Water Line

Kitchen & Laundry Appliances

Outdoor Light Rental

Terms & Conditions

YES! I want the peace of mind, convenience and quality service of Extra Service Protection!

To enroll, fill out this online form or call, toll free, 1-866-777-9151. One of our representatives will promptly assist you.

At least one coverage option must be selected. An asterisk (*) indicates other required fields.

Please select your coverage by selecting the # of units and which payment option you prefer. For Inside Line coverage, please select at least one coverage option.

COMPONENT	# OF UNITS	MONTHLY COVERAGE	YEARLY COVERAGE
Furnace		$9.99/month	$119.88/year
Boiler		$10.49/month	$125.88/year
Space Heater		$7.49/month	$75.00/year
Water Heater		$2.00/month	$18.00/year
Heat Pump		$18.49/month
Central Air Conditioning		$9.99/month
Kitchen & Laundry Appliances (E.S.P. ApplianceCare)		$18.99/month with $15 service fee ($45 evenings, weekends or holidays)
INSIDE LINE COVERAGE
Inside Electric Line		$3.99/month
Inside Gas Line		$1.99/month
Inside Water Line		$4.95/month	$53.46/year
Inside Line Value Package (Includes both Inside Gas and Inside Electric)		$4.98/month
Inside Line - Value Package Plus (Includes Inside Electric, Inside Gas and Inside Water Lines)		$9.93/month

APPLICABLE SALES TAX WILL BE APPLIED.

Finally, complete the following form and submit:

*Customer Name:
Requestors Name:
*NIPSCO Account Number:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
Daytime Phone:
* Evening Phone:
* Email Address:
Promo Code (if any):


Is the equipment that you wish to cover in good working order?	Yes	No

* By checking this box, you agree to the terms and conditions of NIPSCO E.S.P. You understand that service plans for Furnace, Boiler and Central A/C are a yearly agreement with automatic renewal. Coverage will begin after the first bill, after receipt of the first payment, or 15 days after enrollment (whichever is later). Your E.S.P. coverage will appear on your billing statement. Please pay your utility bill promptly to ensure coverage. Do not send in checks for E.S.P. at time of enrollment. Programs are available only to NIPSCO customers.

If you prefer to mail your enrollment form, use our printable form and send to NIPSCO Retail Services, 801 E 86th Ave, Merrillville, IN 46410-9927.