Your Government
City Departments
City Services
Our Community
Skip to content
Utility Service(s) Request
23 Questions
This form is used to establish utility services.
Do not report emergencies with this form!
Dial 9-1-1 for all emergencies!
Customer's Information
Customer's Information
Customer Information
Customer Information
Customer Information
Customer Information
Customer's Employer
Customer's Employer
Customer's Employer
Customer's Employer
Customer's Employer
Customer's Employer
Customer's Employer
Yes
No
Yes
No
By electronically signing below in all caps, the customer agrees to be billed the necessary deposits to establish services. Generally, there is a $165.00 water deposit required and a $165.00 gas deposit required (if applicable). Deposits for businesses will be more. 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. Prior to the establishment of any services, City Hall must receive a photocopy of the
Signature I understand that my typed signature is the legal equivalent of my handwritten signature on this document.Forms
Compost Mulch Delivery Sign Up
Contact Us
Decatur County Sanitation Service Request
Report a Pot Hole
Service Cancellation Request
Submit an Anonymous Crime Tip
Submit an Event
Utility Service(s) Request
Zoning/Code Enforcement Complaint Form
9 forms were found.