Jerome, AZ · Yavapai County
Utility Application
Jerome residents applying for water, sewer, or trash service use this application to provide customer, property, emergency contact, and service information.
What this form is
The Town of Jerome Utility Application is used to request water, sewer, and trash services, as applicable. It asks for customer and property owner or landlord contact details, an emergency contact, the service address, number of occupants, and service start date. The applicant agrees to the service terms and to pay the applicable rates and a Last Month’s Payment deposit when service is established.
Who needs it
People requesting water, sewer, or trash service from the Town of Jerome should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Town of Jerome Utility Application.
- 2
Complete The Form
Fill in customer, property, emergency contact, and service information, then review the service terms.
- 3
Gather Attachments
The application does not list any required attachments.
- 4
Submit To The Town
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What services does the Jerome Utility Application cover?
- The application is for water, sewer, and trash services, as applicable. It also includes service and customer information and service terms.
- What information does the application ask for?
- It asks for customer, property owner or landlord, and emergency contact details, plus the service address, number of occupants, and requested service start date.
- Do I need a notary for the Jerome Utility Application?
- No. This application is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the Jerome Utility Application?
- The form does not specify submission instructions. Submit it to the city department named on the form; check the city website for current contact details.