Individual Account Application


  •  Be advised service will begin within 2 BUSINESS DAYS once we complete the application process.

    As part of our data security and privacy this form will not ask for any critical personal information such as your social security number or driver's license number. We will call you for this information along with requests for any further documentation/deposit needed to open your account.

  • Individual Account

  • Note: Accounts opened by a Guardian Ad Litem or legal Power of Attorney for the account holder, must provide a copy of the appropriate legal documents. Further, as mandated by the U.S. Federal Trade Commission Identity Theft Prevention Program, the City must require applicant’s of individual accounts and sole proprietorships to furnish documented proof of their identity before service is approved in addition to any documentation the City requires. Documentation will be verified.

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  • Primary Account Holder Name

    As noted on Government Photo ID
  • Secondary Account Holder Name (if Joint Account)

    As noted on Government Photo ID
  • Account & Location Information

  • Phone Number
  • Phone Number
  • Phone Number
  • If you wish to have someone authorized to make inquiries and/or payments on your account, designate them below:

  • Electronic Consent

  • Acknowledgment: I, the undersigned certify that the information in the foregoing application is accurate and true to the best of my knowledge and belief. I have received a copy of the “Terms of Application”. I acknowledge my responsibility for any and all charges, fees and the like associated with the account, including returned check charges, and agree to notify the Customer Service Center of any changes regarding the account within ten (10) days of the change. I agree that no interest will be paid to me for any deposits, tap on fees or other charges I might pay. If I have supplied you with a wireless telephone number or land line number I am giving you prior consent to call that number. I am aware that such calls may result in charges to my wireless phone account.