Online Application for New Utility Service
By submitting this application, Applicant acknowledges: 1. The above information is true and correct to the best of my knowledge
(City Code Section 20-1-11 states that it is unlawful for any person to obtain utility service by deceitful means or artful
practice which includes providing false information during the application process); 2. Applicant 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 statements; 4. Residential sanitation charges are mandatory within the City limits except for
vacant rental property in an approved Landlordís name; 5. The City may access my credit information and verify employment for
the purposes of determining my deposit and collecting unpaid amounts, 6. Any debt owed to the City of LaGrange including but
not limited to court judgments and fines shall be paid prior to obtaining utility service, 7. Applicants with delinquent amounts
owed to the City of any type shall be subject to having utility services terminated for failure to pay said debts, 8. The City
shall not be responsible for the transmission or use of utility services beyond the Applicantís meters.
Please fax a copy of your lease or purchase agreement plus a photo ID to our Customer Service office at 706-883-2041 or email this information to firstname.lastname@example.org or mail to Customer Service at 200 Ridley Ave, LaGrange, GA 30240.