Macon, GA · Bibb County

No notary required

Utility Request Form

Macon-Bibb County departments use this form to request new utility service or a cutoff and provide the service location and account details.

What this form is

The Utility Request Form lets a department request new service or a cutoff and identify the service provider and location. It asks for the requesting department, contact details, requested date, account to be charged, reason for the change, and department head and County Manager signatures.

Who needs it

A department requesting new utility service or a cutoff completes the form and provides the required account and signature information.

How to submit it

Send the completed form to the IT Department/Communications Division or email it to [email protected].

About notarization

This document is signed without a notary; the form asks for department head and County Manager signatures, and the signer just dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Utility Request Form PDF.

  2. 2

    Complete The Request

    Enter the requesting department, contact information, service provider, location, requested date, account number, and reason for the change.

  3. 3

    Add Signatures

    Obtain the department head and County Manager signatures requested on the form.

  4. 4

    Submit The Form

    Send it to the IT Department/Communications Division or email [email protected].

Frequently asked questions

What is the Utility Request Form used for?
Departments use it to request new utility service or a cutoff and provide the service location, requested date, account to be charged, and reason for the change.
How do I submit the Utility Request Form?
Send the completed form to the IT Department/Communications Division or email it to [email protected].
Do I need a notary for the Utility Request Form?
No. The form has no notary block; it asks for department head and County Manager signatures, and the signer just dates it.