Mustang Utility Services Application

Utility Services Application
To complete this form, you will need the following:
1. Photo or scan of the front side of your current and valid Photo ID.
2. Photo or scan of the back side of your current and valid Photo ID.
3. Photo or scan of a current utility bill in your name.
4. If you are renting or leasing the property for which you are requesting service, you will need to upload a scanned copy of your rental or lease agreement.
* Photos and scans must be clear and readable.
Primary Occupant *

First Name Middle Name Last Name Suffix
Enroll in e-billing? *
Email
example@example.com
Cell Phone Number (you will receive a text to confirm)
Alternate Number
Phone Number with Area Code
Birthdate *

Month Day Year
Social Security # *
Driver License # *
Number of people in household *
Do you wish to enroll in the ambulance service program. Enrolling will add a fee of $1.50 per month to your utility bill.
Enroll in program *
Emergency Contact Name *
Emergency Contact Number *
Phone Number with Area Code

Employer Question
Are you currently employed? *

Employer Info
Employer Name
Employer Address

Street Address

Street Address Line 2

City State

Zip Code
Work Phone
Phone Number with Area Code

Service Address
Service Address *

Street Address

Street Address Line 2

City State

Zip Code

Mailing Address Question
Mailing Address *

Mailing Address Info
Mailing Address (if different)

Street Address

Street Address Line 2

City State

Zip Code

Ownership Question
Renting or Buying? *

Co-Occupant Question
Is there a spouse or co-occupant? *

Previous Service Question
Have you had previous service with the City of Mustang? *

Previous Service Info
What name was it under?

First Name Last Name
Previous Service Address

Street Address

Street Address Line 2

City State

Zip Code
Approx Start Date

Month Day Year
Approx End Date

Month Day Year

End Previous Service Info

Identity Verification

FRONT SIDE OF ID
Use your mobile device or computer to take or upload a photo of the FRONT side of your government issued Photo ID. Only current and valid forms of ID will be accepted. Make sure all text is clear and easy to read.
FRONT SIDE *

Identity Verification

BACK SIDE OF ID
Use your mobile device or computer to take or upload a photo of the BACK side of your government issued Photo ID. Only current and valid forms of ID will be accepted. Make sure all text is clear and easy to read.
BACK SIDE *

Utility Bill Verification
Upload a photo, scan, or PDF document of a current utility bill in your name. Photo must be clear, and you must make sure the account status, name, date and address are visible.
File Upload *

Browse Files
Only PDF or image files are accepted (JPG, PNG, PDF, TIFF) Cancel of

Terms and Conditions
Under Article 10, Section 10, Oklahoma constitution, this City is required to collect all fees and charges for utility services to its customers.
Utility accounts not paid after termination of service will be referred to a collection agency. Customers will be responsible for any fees charged by the collection agency in addition to the balance of the outstanding utility
account.

Sec. 78-117. Tampering with or damaging public utilities.
It is unlawful for any person to connect or attach any kind of pipe, wire or other contrivance to any pipe, line, wire or other conductor carrying gas, water or electricity and belonging to a public utility, whether publicly or privately owned, in such a manner as to enable him to consume or use the gas, water or electricity without its passing through the meter or in any other way so as to evade payment therefore. It is also unlawful for any person to damage, molest, tamper with or destroy any pipe, line, wire, meter or other part of any public utility, including telegraph and telephone systems.

Sec 98-63. Preparation of waste for collection; special collection.
Garbage shall be put in containers. Limbs which are securely bundled and tied and not exceeding three feet in length and weighing no more than 25 pounds will be picked up when placed no more than two feet from the curb or edge of the street. Grass clippings shall be placed in plastic bags no larger than 30 gallons and weighing no more than 25 pounds each. The maximum number of plastic bags allowed per residence per pickup shall not exceed five bags. Special collections or pickups will be provided for additional bags and other refuse subject to certain restrictions, including prior arrangements being made with the city and certain days for and size of collections being established. Fees for special collections will be established by resolution. The additional charge for such special collections will be assessed and added to the resident's monthly utility bill. All construction waste, whether by contractors or residents, is the responsibility of the owner for disposal. No dirt, rock or grass with clods shall be placed in the containers. No substances which are deleterious to the plastic cart shall be placed in them, and if the cart is damaged by a substance placed therein the expense of repair will be charged to the resident.
TRASH MUST BE BY THE CURB BEFORE 7:00a.m. ON YOUR SCHEDULED TRASH DAY

This application becomes a contract upon the establishment of service.

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the verification of all facts and information contained in the application for service.

I, the undersigned understand that false or misleading information given in this application may result in the termination of service.

I further understand that I am required to abide by all rules and regulations and agree to pay the established rates set forth by the City of Mustang Ordinances and Policies governing said services.

Deposit Amounts

Rental: $100.00 + $20.00 application fee = $120.00

Homeowner: $75.00 + $20.00 application fee = $95.00

Commercial: $100.00 + $20.00 application fee = $120.00

After application is reviewed, the Utility Department will contact you to collect the deposit.
Should be Empty:

Utility Services Application

Identity Verification

Identity Verification

Utility Bill Verification

Terms and Conditions