LOCATION & SERVICES
Residential Service Application: Section 1 of 3
Start date
*
-
Month
-
Day
Year
Date
Service location
*
Street Address (include unit number, if applicable)
Street Address Line 2
City, State
Zip Code
Postal / Zip Code
Services needed?
*
Electric
Water / wastewater
Private area lighting
Own or rent?
*
Own
Rent
Proof of ownership
*
Browse Files
Acceptable documents: property deed or settlement statement
Cancel
of
Proof of occupancy
*
Browse Files
Acceptable documents: signed lease agreement
Cancel
of
Ever been a BVU customer?
*
No
Yes, former customer
Yes, current customer
If yes, where?
*
Street Address (include unit number, if applicable)
Planning to turn off current service?
*
Yes
No
When should we schedule current service turn off? Note: Turn off requests are typically worked during A.M. hours.
-
Month
-
Day
Year
All turn-off requests are processed during normal business hours. Customers who wish to discontinue service must give BVU at least three (3) business days’ notice. You may change this date by calling us in advance during normal business hours.
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APPLICANT INFORMATION
Residential Service Application: Section 2 of 3
Name
*
First
Middle
Last
Maiden/Other
Photo ID
*
Browse Files
Acceptable U.S. government- or state-issued documents: driver's license, passport, or military/inmate ID
Cancel
of
SSN
*
Phone number
*
Email
*
example@example.com
Different mailing address?
*
Yes
No
Mailing address
*
Street Address (include unit number, if applicable)
P. O. Box
City, State
Zip Code
Postal / Zip Code
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CERTIFICATION & AGREEMENT
Residential Service Application: Section 3 of 3
Signature
*
Submit
Should be Empty: