Residential Application for Service
- Lease agreement from Landlord (must have renter’s name, address, and landlord’s signature) or proof of home ownership
- Photo ID
- Document with Social Security Number on it (examples: Social Security Card, bank statement, insurance card)
Number of Persons Living in Household:
Local Friend or Relative Not Living at Your Address:
Someone other than applicant who will have the authorization to receive information, change service and/or final bill account. It is not required to have an authorized person listed on your account.
The City of Thomasville uses an auto-notify system to provide courtesy payment reminders on your due date to help you avoid late fees and/or disconnection of service. If you do not wish to be notified, please leave the Auto-Notify # field blank.
I certify that everything that I have stated on this application is true to the best of my knowledge. I authorize you to check my submitted paperwork and confirm employment. I understand that I must update credit information at your request if my financial condition changes. I agree to follow and abide by all rules for utilities services and to pay charges in effect as stated on each monthly bill. If I change service address or add an additional service address, I will be bound by this application. I understand that non-payment of my account will result in discontinuation of service.