Forms

We're here to help

Our most frequently requested forms are available below.

Print them out and return them to Alliance Communications, PO Box 349, Garretson, SD  57030. Or drop them off at one of our offices in Brandon, Garretson or Baltic.

Automatic Bank Withdrawal Form

Bill paying with automatic checking or savings account transactions is easy, accurate and convenient. This application form can be printed, filled in, signed and mailed to the address indicated so you can be activated for this service.

CPNI Authorization Form

Only authorized individuals are allowed to make changes to your business account. Complete this form if you want to authorize others to modify your Alliance services.

Letter of Agency Form

Switch your phone service provider to Alliance Communications and keep your current phone number. Please return this form to Alliance Communications using one of the following options:

By E-mail: joannr@alliance.coop

By Fax: (605) 582-3922 

By Mail:
Alliance Communications
Attn: JoAnn
113 Splitrock Blvd
Brandon, SD 57005

Lifeline Form

Low-income assistance is available through the federal Lifeline program to qualifying customers who live within Alliance's cooperative service area.*

  • STEP 1. If you're interested in applying for Lifeline assistance, please print out the Lifeline Certification Form.
  • STEP 2. Mail the completed form to the following address: Alliance Communications, PO Box 349, Garretson, SD  57030


Lifeline Recertification

From time to time, Lifeline recipients will be asked to recertify their eligibility. If you received a recertification request, you can print out this Recertification Form for Current Lifeline Recipients. Then mail the completed form to Alliance Communications, PO Box 349, Garretson, SD  57030.

*Lifeline is not available at this time in Beaver Creek, Hardwick, Jasper, Kanaranzi, Kenneth, rural Luverne and Magnolia.

Long Distance PIC Freeze Form

Protect yourself from having your long distance carrier changed without your consent. You can freeze your account to prevent unscrupulous companies from "slamming" you using this form. The regular cost of the freeze service is $4. Alliance will waive the fee for all freezes.

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