Form

Application for Residential Utility Service
Application Requirements: One form of identification and property lease agreement or proof of ownership.

We are unable to process your application without these documents.
Government Identification

Browse Files
Please attach One form of state or government-issued picture identification. Cancel of
Lease or Proof of Ownership of the Dwelling

Browse Files
Please attach a copy or image of your lease, deed, proof of ownership or authorization form. Cancel of
Date *

- Month - Day Year
Date

Co-Applicant Information
Co-Applicant Name

First Name Last Name
Drivers License or ID #
State
Date of Birth

- Month - Day Year
Date

Payment Options
GEUS offers multiple payment options.

Choose to pay your bill using the GEUS App, Online Bill Pay, Pay-By-Phone or Pay in Person options.

Visit our website to learn more about these easy to use payment options.

GEUS Payment Options

ID and Document Requirements
Document Requirements

If you did not attach the required documents in step 1 of the application process, you are required to provide those before services can be connected.

Services will not be connected until this information has been submitted.

How to submit these requirements:
Email CustomerServices@geus.org or Call 903-457-2800.

I understand that I am required to submit the required documents explained in step 1 by contacting GEUS before my services will be connected.
Applicant Signature *

First Name Last Name
Date

- Month - Day Year
Date
Applicant E-Signature

Clear

Agreement
The Applicant, whose signature appears below, applies to GEUS for some or all of the following services: Electric, Water, Sewer, Garbage, Cable TV, Internet and other services incident thereto, to be supplied at the address herein described, and upon request, at any other local address to which Applicant may move. The Applicant agrees to pay for said services as bills are rendered therefore, in accordance with the rates, rules and regulations as provided in the City Charter or by City Ordinances as now existing or as may be enacted and in effect at the time of delivery, regardless of who the consumer might be. The Applicant further agrees to release and discharge said GEUS or the City of Greenville from a liability for damages suffered (1) by reason of electric or water currently furnished to the premises, or (2) by reason of interruption, discontinuance or disconnection of service hereunder from any cause other than negligence by GEUS or the City of Greenville or (3) by reason of the condition, maintenance, location, or existence of any of the facilities, fixtures or systems located on or adjoining the property supplied and by which services are furnished and delivered. Service requests for disconnections will be processed within 2 business days.

Applicant agrees to follow all current or as amended policies and procedures established in the Greenville City Ordinances and GEUS Service Policy. Such policies and procedures can be found on the links provided.

Greenville City Ordinances

GEUS Service Policy (PDF)

My signature is an acknowledgement that this is a contract and that I personally agree to make payments and am guaranteeing payment of all sums due and owing on behalf of myself and anyone using services at this address. Additionally, by submitting this form via electronically, I agree to conduct business electronically and an electronic signature is binding on me. If I move from this address, it is my responsibility to contact GEUS to terminate this account. I will remain responsible for the amounts owed on or services charged to this account until such time as I terminate this account.
Applicant Signature *

First Name Last Name
Date *

- Month - Day Year
Date
Applicant E-Signature

Clear
Co- Applicant Signature

First Name Last Name
Date

- Month - Day Year
Date
An email with your completed application will automatically be sent to the email address you provided.
Should be Empty:

Street Address
Apartment #
City	State / Province
Postal / Zip Code	Country

Street Address
Street Address Line 2
City	State
Zip Code	Country

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Application for Residential Utility Service

Applicant Information

Co-Applicant Information

Requested Utilites

Cable & Internet

Payment Options

ID and Document Requirements

Agreement