START SERVICE APPLICATION


City of Boone Water/Sewer Utilities Online Customer Service

Applicant Information
First Name    
Middle Initial  
Last Name    
Date of Birth (click on date from calendar)       
Social Security Number (xxx-xx-xxxx)      
Driver's License Number  
Driver's License State  
Employer  
Work Telephone  
Are you Married?    
 
 
 
Date you want service to begin: (click on date from calendar)        
Dates available are Monday through Friday, excluding Holidays. A requested date may be changed up to two (2) work days to coincide with an existing request or if the date is not a normal work day.
 
 
Service Address Information
Street Address    
Apt. Lot or Unit Number  
City    
State  
Zip Code    
Do you want your utility bill mailed to an address other than your service address? 
 
 
 
 
Other Information
Current Phone Number    
Will this be your telephone number at your new address? 
 
E-mail Address      
Will You Own or Rent?    
Landlord's Name    
Landlord's Telephone  

Would you like to participate in the Leak Protection Program?
 
 
In Case of an Emergency
Contact's Name    
Contact's Address    
Contact's City    
Contact's State  
Contact's Zip Code    
Contact's Telephone  
 
 
A security deposit will be billed to your account unless:
  • You have previously established an acceptable credit history with us, or
  • You provide us with an acceptable credit history reference from another utility within two (2) weeks of submitting your application for service.
To be acceptable, a credit history reference must show that you had utility service in your name for at least eighteen (18) consecutive months during the past twenty-four (24) months. It must also show that you paid your bills in full and on time each month while the service was in your name.
 
 
Additional Comments
* 500 character maximum