Utilities Sign-Up Form Customer Card

Utilities Sign-Up Form

Customer Card
Water and Sewer Services
We extend a warm welcome to both new residents and businesses choosing to call Ozark home. Nestled in the scenic landscapes of Missouri, Ozark combines small-town charm with modern amenities, creating an ideal environment for a diverse and dynamic community. Whether you're seeking a place to raise a family or a location to establish and grow your business, Ozark offers a welcoming and supportive atmosphere that sets the stage for success and fulfillment.

Find our Resident Resource Guide Here: myozark.info/Resident-Resource-Guide

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Would you like to sign up for the City Newsletter?*

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Type of Customer:*

Rent - Deposit: $100Own - Deposit: $75Commercial - Deposit: TBDLandlord - Deposit: $75Construction - Deposit: $75
Full Name / Company Name*
DOB*
Driver License Number*
Last 4 of SSN Tax ID*
Home/Business Phone Number*
Cell Phone Number*
Email Address*
example@example.com
Service Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (If different than the Service Address above.)

Street Address

Street Address Line 2

CityState

Zip Code
Spouses or CoInhabitant Name
Phone Number
Emergency Contact*
Phone Number*
Deposit Amount
Identity Protection password
Start Date

MonthDayYear
Date
Customer Agreement

The undersigned hereby agree(s) that he/she/they has/have been provided a copy of and have read the Utility Billing Collection Policy Statement and Procedures effective February 2014, and I/we agree to the terms contained therein in exchange for water and sewer service to my/our residence/business listed above. Signature:
Signature*

Clear
Date*

MonthDayYear
Date
Trash Service:

The City of Ozark does not provide trash services directly to its citizens. The City is not an exclusive trash hauler city, which means you can set up trash services with the company of your choosing. However, the City has partnered with Republic Services (previously Allied Waste) to provide convenience and a lower rate for citizens. Through this partnership, the City bills your trash service SO that you receive only one bill for your utilities. Keep in mind that the city is only responsible for processing payments and not for pickup or services related to trash collection.

Ozark's Trash Service is provided by Republic Services 800-627-1717.

Other Costs:

Cart delivery fee: $22 each
Cart removal fee: $22 each
Please select the type of Trash Service*

Trash Cart - $15.33Recycling Cart - $5.71Additional Trash Cart - $6.01opt out of trash service
Should be Empty:

Utilities Sign-Up Form

Customer Card

Water and Sewer Services

Customer Agreement

Trash Service: