Dinuba, CA · Tulare County

No notary required

Utility Service Request

Residents and property owners use this form to request water, sewer, and disposal service, including starting or terminating service and requesting a water turn-on.

What this form is

This form covers tenant and owner requests to start water, sewer, and disposal service, as well as requests to terminate service. It also includes a water turn-on request and asks for customer contact details, service address, requested date, signature, and date. The form lists the supporting documents and payments required for different service requests.

Who needs it

Tenants and property owners requesting utility service, customers terminating service, and customers requesting a water turn-on use this form.

How to submit it

For tenant or owner initiation, email the signed, dated form to [email protected] or use the drop box at 405 E. El Monte Way. Termination requests may be emailed or delivered in person; water turn-on requests may be emailed or delivered to Dinuba City Hall with a copy of valid ID.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the request.

How to submit this form

  1. 1

    Download The Form

    Download the Utility Service Request PDF.

  2. 2

    Complete The Request

    Fill in the information for your service request and sign and date the form where required.

  3. 3

    Gather Supporting Documents

    Include the documents listed for your request type; water turn-on requests require a copy or photo of valid ID.

  4. 4

    Submit To The City

    Follow the form’s instructions for emailing, using the drop box, or delivering the request in person.

Frequently asked questions

Do I need a notary for the Utility Service Request?
No. The form asks the signer to sign and date it; it does not include a notary requirement.
How do I submit the Utility Service Request?
The form gives different instructions by request type. Tenant or owner initiation forms can be emailed to [email protected] or placed in the drop box at 405 E. El Monte Way. Termination requests may be emailed or submitted in person.
What documents are needed to start utility service?
The form lists a rental agreement and identification for tenants, or title or closing escrow paperwork and identification for owners. It also asks for a contact telephone number.
What should I include with a water turn-on request?
The form says to email the completed request with a copy or photo of valid ID, or print both and deliver them to Dinuba City Hall at 405 E. El Monte Way.

Need something notarized?

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