Water/Sewer Application for Service

Complete the following application if you are a new resident needing water/sewer service inside city limits. There is a service charge that is non-refundable and non-transferable. The fee is $50.00 for homeowners and $100 for renters. You must submit a copy of your driver's license by clicking here in order for your application to be completed. Once the form is received, someone will contact you for payment. Your application must be submitted in full with accurate information. If you have any questions, please contact the water department at (615)792-7211.

YOU MUST SUBMIT A COPY OF YOUR DRIVERS LICENSE AS DESCRIBED ABOVE IN ORDER FOR YOUR APPLICATION TO BE CONSIDERED

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Person Responsible for Bill: *

Email Address: *

FEIN:

For businesses, please enter your FEIN

Mail Bills to this Address: *

The address you want the bill mailed to.

Service Address: *

The address you need service for.

Valid Phone Number: *

Applicant's Driver's License #: *

You must submit a copy of your Driver's License by email as described above.

Are you Buying or Renting?: *

Applicant's Next of Kin- Name, Phone #, and Address: *

Security Question: *

A question we can ask you to access your account.

Security Question Answer: *

Service Start Date:

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Signature: *

Please type your full name.

Today's Date:

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Water/Sewer Application for Service

**** YOU MUST SUBMIT A COPY OF YOUR DRIVERS LICENSE AS DESCRIBED ABOVE IN ORDER FOR YOUR APPLICATION TO BE CONSIDERED ****

Contact Information

YOU MUST SUBMIT A COPY OF YOUR DRIVERS LICENSE AS DESCRIBED ABOVE IN ORDER FOR YOUR APPLICATION TO BE CONSIDERED