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Transfer of Residential Service Application

2. Please allow 1-2 business days for processing. Service will be activated between 7:30am and 5:30pm, Monday thru Thursday. On Friday 7:30am and 11:30am. Applications received on weekends or holidays will be initiated on the preceding business day.
4. Start Date:*
5. Disconnect Date:*
7. Old Service Address:*
9. New Service Address:*
11. Mailing Address (if different from above):
13. Email Address:
14. How Do You Want to Receive Your Bill?

    1. Paper
    2. Email
    3. Both
18. Applicant:*
19. Co-Applicant:*
21. Applicant's Drivers License# and State:*
22. Co-Applicant's Drivers License# & State:*
24. Applicant's Birthday:*
25. Co-Applicant's Birthday:*
27. Applicant's Phone #:*
28. Co-Applicant's Phone #:*
32. I understand that the City requires 1-2 business days notice to connect service.*

    1. Applicant
    2. Co-Applicant
33. I understand that I am responsible for all discharges of water on the customer side of the water meter, regardless if the discharge was a result of my actions or in-actions.*

    1. Applicant
    2. Co-Applicant
34. I understand that I am liable for any damage to the water meter installed on the property. It is unlawful for anyone to break, damage, tamper with, obstruct or prevent the proper operation of the water meter.*

    1. Applicant
    2. Co-Applicant
36. I understand that a violation of any of the offenses listed above will result in additional fees for water lost, damages incurred, and criminal charges may be filed against the customer.*

    1. Applicant
    2. Co-Applicant
37. I request that my personal information be kept confidential.

    1. Applicant
    2. Co-Applicant
41. Signature*
42. Date*
    Date
44. Submit the completed form with a copy of your photo ID that you can upload below.
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit Submit and Print

* indicates a required field