This service request form is intended to help you set up a new single-family residential account. Non-residential service accounts require more details to determine the required deposit. Please contact Tiffany Tiner, Service Review Specialist, at 912-261-7139 or email email@example.com for non-residential accounts.
Our service application form is also available for download here: Application to Start Service
Following receipt of this form, staff will contact you by phone during regular business hours to get Social Security Number (or Tax ID Number), payment information for the required deposit and account setup fee, and to confirm date and time for turning on the service. Failure to respond to our follow-up contact may result in delays in processing.
Same-day service may not be guaranteed for requests received after 12:00 pm using this form.
All required fields below must be completed and a government-issued photo ID matching the responsible party listed on the account must be attached in order to process the application.
The following form may not work correctly using Internet Explorer or Safari. Please use Edge, Firefox or Chrome if possible.