Chino Valley, AZ · Yavapai County
Application for Residential Utility Services
Property owners, landlords, agents, or tenants use this application to request water and sewer service at a residential address in Chino Valley.
What this form is
Use this application to request residential water and/or sewer service from the Town of Chino Valley. It asks for applicant and owner or landlord information, the service address, requested turn-on date, meter size for new construction, and payment details; the agreement also covers payment responsibilities and applicable Town Code chapters.
Who needs it
A property owner, landlord, agent, or tenant requesting residential water or sewer service at a Chino Valley property should complete this application.
How to submit it
Submit the application to the Town of Chino Valley Utility Billing at 202 N. State Route 89, Chino Valley, Arizona 86323, or email [email protected].
About notarization
This document is signed without a notary; the owner or landlord signs the application, and the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the residential utility services application PDF.
- 2
Complete The Application
Enter applicant and owner or landlord information, service address, requested services, turn-on date, and payment details.
- 3
Review And Sign
Read the agreement and have the owner or landlord sign and date the application.
- 4
Submit To Utility Billing
Submit it to the Utility Billing address or email listed on the form.
Frequently asked questions
- Who can apply for residential utility services?
- The application identifies the property owner or landlord, agent, or tenant as parties who may agree to its terms for service at the listed address.
- What information does the application request?
- It requests applicant and owner or landlord details, service address, requested turn-on date, service type, payment information, and meter size for new construction.
- How do I submit the residential utility services application?
- The form lists Utility Billing at 202 N. State Route 89, Chino Valley, Arizona 86323, and [email protected].
- Do I need a notary for the residential utility services application?
- No. The document has no notary block; the owner or landlord signs it, and the signer just signs and dates it.