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New Service Application

  1. Please fill out all fields, if applicable.

  2. Once you submit the form it will be sent to the Utility Department and you will receive a follow up email with confirmation of your start date.

  3. A $26.00 service fee will be added to the first months bill.

  4. Please fill in the address for activation of water/sewer service

  5. Indicate the date you wish to start service (we require 24 hour business day notice) Only exception would be same day service on Friday, or the day before a holiday.

  6. Ownership Type*

    By selecting this option you are confirming that you are submitting this application as the owner of the subject property and not a renter.

  7. If available, please upload proof of ownership of home.

  8. Please list anyone else authorized to make changes/inquire on the account.

  9. Leave This Blank:

  10. This field is not part of the form submission.