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Start Service for Utility Billing

If you need to start your Sewer or Surface water services please complete this form. Upon receipt of this form and depending on your location, you'll be notified of what services you're responsible for. Required fields are in bold.

First Name/Business Name:
Last Name:

Street Address:
City:
State:
Zip:

If Different than Above, Please give Mailing Address
Mailing Address:
Mailing City:
Mailing State
Mailing Zip

Primary Phone:
Secondary Phone:

Email(Optional):
Effective Date:

Status: Property Type:
Owner
Renter		 Residential
Commercial
Comments: