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Application for Service

  1. City of Decatur

    Application for New Service/Residential

  2. Service Type*

  3. Do You*

  4. If mailing address is the same, please enter "n/a"

  5. Landlord Information (if applicable)

  6. If you own, please enter "n/a"

  7. If you own, please enter "n/a"

  8. Primary Applicant Information

  9. If you do not have an email address, please enter "n/a"

  10. If not a commercial account, please enter "n/a"

  11. Co-Applicant Information

  12. Bill Pay Options

  13. A copy of your lease agreement or proof of ownership is REQUIRED and may be uploaded here, emailed to utilities@decaturtx.org, or submitted in person. We must receive a copy of your lease agreement or proof of ownership BEFORE deposit is paid and service is started.

  14. A copy of your valid driver's license or state ID is REQUIRED and may be uploaded here, emailed to utilities@decaturtx.org, or submitted in person. We must receive a copy of your valid driver's license or state ID BEFORE deposit is paid and service is started.

  15. I UNDERSTAND THAT...*

  16. I UNDERSTAND THAT...*

  17. CONFIDENTIALITY REQUEST

  18. **All Delinquent Accounts will be sent to McCreary, Veselka, Bragg & Allen, P. C. Attorneys at Law

  19. Signature

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  20. I agree to the above statement and confirm that all the information on this application is true and accurate to the best of my knowledge.*

  21. Leave This Blank:

  22. This field is not part of the form submission.