Contact Us

PO Box 158
Bainbridge, GA 39818
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  • Phone: (229) 248-2000
  • Fax: (229) 246-7311
  • Staff Directory

Utility Service Transfer Request

 Step 1 of 1

This form is used to transfer utility services.

Do not report emergencies with this form!
Dial 9-1-1 for all emergencies!

* Denotes a required field
 

Customer Information

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Social Security Number*
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Daytime Telephone 
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Evening Telephone 
-- ext
Mobile Telephone 
-- ext

Transferring Services

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Would you like City Services (Water, Sewage & Garbage) at the new location?*
If yes, when would you like City Services at the new location? 
 If yes, when would you like City Services at the new location?
Would you like Natural Gas at the new location?*
If yes, when would you like your Natural Gas at the new location? 
 If yes, when would you like your Natural Gas at the new location?
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*Your account number can be found on your bill. We MUST have this number to process this request.
Would you like your Water Services terminated at the old location?*
If yes, when would you like your water service terminated at the old location? 
 If yes, when would you like your water service terminated at the old location?
Would you like your Natural Gas Services terminated at the old location?*
If yes, when would you like your Natural Gas services terminated at the old location? 
 If yes, when would you like your Natural Gas services terminated at the old location?

By electronically signing below in all caps, the customer agrees to be billed a $10.00 transfer charge and to be billed the necessary deposits, if there is no deposit already on account. Generally, there is a $50.00 water deposit required and a $75.00 gas deposit required (if applicable). Deposits for businesses will be more.
Prior to the transfer, termination, or establishment of any City Services, City Hall must receive a photocopy of the Customer's Identification and rent receipt (if a renter establishing services). Please fax the Identification and information to (229) 246-7311 to the attention of the BILLING COORDINATOR.
You must be present at the service location in order to have services connected.
NEW TAPS: If the City's water works, sewer system, or gas system has not already been "tapped" there will be additional charges for these services.

*Please type in all capital letters to electronically sign.
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Date*
 Date
 



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