Cochran, GA · Bleckley County
Rental Application for City Services
Tenants use this application to request city gas, water, sewer, or garbage service and provide the information and documents required for processing.
What this form is
This application lets tenants request gas, water, sewer, or garbage service at a residential or commercial location. It asks for account and service details, tenant contact and identification information, and selections for billing options. Applicants must provide the completed application and fees at submittal, along with the listed lease or rental agreement, 911 registration form, and driver’s license or state ID.
Who needs it
Tenants requesting city gas, water, sewer, or garbage service for a residential or commercial location need this application.
How to submit it
Submit the completed application and fees at the time of submittal. The form lists 112 W. Dykes St., Cochran, GA 31014, and the city website for more information.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Rental Application for City Services PDF.
- 2
Complete The Application
Enter the requested account, service, tenant, contact, and billing information, then sign and date the application.
- 3
Gather Required Documents
Include the listed lease or rental agreement, 911 registration form, and driver’s license or state ID.
- 4
Submit The Application
Submit the completed application and fees at the time of submittal.
Frequently asked questions
- What services can I request with this application?
- The application lets tenants request gas, water, sewer, or garbage service. It also asks applicants to identify the service location and whether the service is residential or commercial.
- What documents must I include?
- The application lists a lease or rental agreement, a 911 registration form, and a driver’s license or state ID as required documents.
- Do I need a notary for the Rental Application for City Services?
- No. This application is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Rental Application for City Services?
- Submit the completed application and fees at the time of submittal. The form lists 112 W. Dykes St., Cochran, GA 31014, and the city website for more information.
Need something notarized?
This Rental Application for City Services doesn’t need a notary — but if you have another Cochran form that does, a commissioned online notary can help.