Healdsburg, CA · Sonoma County

No notary required

Utility Service Application

Residential and commercial customers use this application to start, stop, or transfer City of Healdsburg electric, water, sewer, or drainage service.

What this form is

The application requests utility service changes for residential and commercial customers within city limits. Applicants select whether they are starting, stopping, or transferring service and provide service and mailing addresses, effective date, contact and identifying information, and signatures accepting responsibility for related bills. A completed application and any required deposit must be provided before service starts.

Who needs it

Residential or commercial customers within Healdsburg city limits who need to start, stop, or transfer city utility service should complete the application.

How to submit it

Email the completed application and supporting documents to [email protected], as directed on the form; it lists City Hall at 401 Grove Street, Healdsburg, CA 95448.

About notarization

This application is signed without a notary; the applicant and any co-applicant sign and date it, and the form does not identify a notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the City of Healdsburg Utility Service Application PDF.

  2. 2

    Complete The Application

    Select the service request and applicant role, then provide the requested address, date, contact, and identifying details.

  3. 3

    Sign And Gather Documents

    The applicant and any co-applicant sign and date the form. Gather supporting documents, if applicable.

  4. 4

    Email The Application

    Email the completed application and supporting documents to [email protected].

Frequently asked questions

What does the Utility Service Application request?
It lets residential and commercial customers request to start, stop, or transfer electric, water, sewer, or drainage service within city limits.
Do I need a notary for the Utility Service Application?
No. The applicant and any co-applicant sign and date the application; the form does not identify a notarized attachment.
How do I submit the Utility Service Application?
Email the completed application and supporting documents to [email protected], as directed on the form.
What must happen before utility service starts?
The form says a completed application must be submitted and the deposit requirement satisfied before services start.

Need something notarized?

This Utility Service Application doesn’t need a notary — but if you have another Healdsburg form that does, a commissioned online notary can help.