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Application for Utility Service

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Online applications are not available for rental or leased property. Rental applicants must provide deposit and a copy of the lease in person to the Service Department.

Applicant Information

First Name

Middle Initial

Last Name

Date of Birth

Social Security Number (optional)

Address

Street Number

Street Name

Apartment Number

Contact

Home Phone

Alternative Phone

Email Address

Employer

Employer Name

Employer Address

Spouse Information

Spouses Name

Spouses Employer

Spouses Employer Address

Mailing Address

Complete this section if your mailing address is different than the address listed above.

Address 1

Address 2

City

State

Zip

Additional Adult Occupants

Please list any additional adult occupants at the service address.

Service Requested

Type of Service Required

Residential

Commercial

If you selected residential, select the type of residence.

Primary Residence

Rental Property

Service Date

Date Required

Additional Remarks
Please add any additional remarks.

This request is to establish service for the following services: electric, water, sewer, refuse collection (trash), and stormwater.

The City requires a minimum of 24 hours notice to activate utility service to this property.

For service related questions, contact (513) 933-7200, Monday - Friday, 8:00 am - 4:30 pm.

I certify that I shall be responsible for payment of all bills lawfully due with respect to above requested services until notification to discontinue service.

I agree.

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