Utilities Application - Residential

Residential Utilities Application –
New Service/Transfer Existing Service

Please attach a copy of proof of occupancy (signed lease or purchase agreement) as well as a copy of your identification card when completing the application below. We will contact you once we receive your application. If you have any questions, please contact us at (229) 227-7001.

Please note: City of Thomasville Utilities collects your social security number for the following purposes: clarification of accounts; customer identification and verification; customer billing and payment; creditworthiness; and other lawful purposes necessary in the conduct of business.

Customer Name:

SSN:

Date of Birth:

Service Address:

City:

State:

Zip:

Billing Address (if different from Service Address):

Daytime Phone:

Email:

Date to Connect Services:

Copy of Photo ID:

Copy of Social Security Card:

Proof of Occupancy (signed lease/purchase agreement):

Residential Utilities Application – New Service/Transfer Existing Service

Residential Utilities Application –
New Service/Transfer Existing Service