Online Application for New Utility Service
  
By submitting this application, Customer acknowledges the following: 1. The above information is true and correct to the best of my knowledge (Note: City Code Section 20-1-11 states that it is unlawful for any person to obtain or attempt to obtain utility service by deceitful means or artful practice which includes providing false information during the application process); 2. Customer will pay all applicable utility charges and fees for service at the above location and any other debt owed to the City including court judgments and fines; 3. Penalties may be charged for late payment and service will be discontinued for failure to pay all charges by the due date shown on monthly billing statements; 4. Sanitation charges are not optional within the City limits except for commercial customers with dumpster service or vacant rental property in a certified Landlord’s name; 5. Pursuant to the Privacy Act of 1974, the City requires a Social Security number in order to verify the identity of individuals applying for utility service, 6. The City can access my credit information from a third part Credit Agency and verify my employment for the purposes of determining my deposit and collecting unpaid amounts.

Where in our service territory are you moving to?

 

Street Address
Apt/Unit Number
City
State
Zip Code
Rent or Own
Landlord Name (if renting)
Turn On Date (mm/dd/yyyy)


Where are you moving from?

 

Street Address
Apt/Unit Number
City
State
Zip Code
Turn Off Date (mm/dd/yyyy)
 if applicable


Personal Information

Utilities are billed in arrears, so a credit check is an important part of the application process.

 

Name
email address
Social Security Number
Driver's License Number
Birthday (mm/dd/yyyy)
Primary Phone Number
Secondary Phone Number
Current Employer


Mailing Address

Please provide us with your mailing address if it will be different from your new service address.

 

Address
Apt/Unit
City
State
Zip Code


Comments
Please use the following fields for additional comments. (i.e. special instructions, or arrangements)