Chino Valley, AZ · Yavapai County
Application for Residential Utility Service
Residential customers use this application to request water and/or sewer service from the Town of Chino Valley and provide customer, service, and payment information.
What this form is
This application requests residential water and/or sewer service and records customer, service address, contact, and other identifying information. It also sets out the customer’s service agreements, including deposits, charges, and service terms. The form asks for a requested turn-on date and, for new construction only, a water meter size; the town requires the original signed application and deposits before processing.
Who needs it
Property owners or tenants seeking residential water and/or sewer service from the Town of Chino Valley need to complete this application.
How to submit it
Send the original signed application and required deposits to Utility Billing at 982 N. Voss Drive #202, Chino Valley, AZ 86323; the form says both must be received before processing.
About notarization
This application does not require notarization; the customer signs and dates it, and the form lists no sworn attachment or notarized related step.
How to submit this form
- 1
Download The Application
Download the Residential Utility Service Application PDF.
- 2
Complete The Application
Provide customer and service information, select water and/or sewer service, and sign and date the application.
- 3
Gather The Required Deposits
The form states that the required deposits and original signed application must be received before processing.
- 4
Submit To Utility Billing
Send the original signed application and deposits to Utility Billing at 982 N. Voss Drive #202, Chino Valley, AZ 86323.
Frequently asked questions
- What does the Residential Utility Service Application request?
- It requests residential water and/or sewer service and collects customer, service address, contact, and other identifying details. New construction applicants also select a water meter size.
- Who can apply for residential utility service?
- The application is for a property owner or tenant at the residential service address who is requesting water and/or sewer service from the Town of Chino Valley.
- Do I need a notary for the Residential Utility Service Application?
- No. This application does not require notarization; the customer signs and dates it. The form lists no sworn attachment or notarized related step.
- How do I submit the Residential Utility Service Application?
- Send the original signed application and required deposits to Utility Billing at 982 N. Voss Drive #202, Chino Valley, AZ 86323. The form says both are required before processing.