Start or Transfer Service Request

Start or Transfer Service Request

Complete this form to initiate or transfer your utility service.
Full Name*

First NameLast Name
Service Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your mailing address different from your service address?*

YesNo
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Are you starting, transferring, or stopping service? If transferring please provide the old address as well as the new address below. *
Requested Start Date

MonthDayYear
Date
Requested Stop Date

MonthDayYear
Date
Upload Valid Photo ID (if required)

Cancelof
If a deposit is required, City staff will contact you with instructions.
Should be Empty: