Waynesboro, GA · Burke County

No notary required

Application for Utility Services

Waynesboro residents and businesses use this application to request utility service and provide account, contact, and service details.

What this form is

Use this application to request gas, water, sewer, or another utility service in Waynesboro. It asks for the applicant’s identifying and contact information, service and billing addresses, occupancy status, employment information, and requested service. The applicant also acknowledges responsibility for ending service when moving out or transferring locations. Applicants may indicate interest in bank draft and complete the form on the back.

Who needs it

A person requesting utility service in Waynesboro should complete the application and indicate whether the service is residential, business, or other.

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; it mentions no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Utility Services Application PDF.

  2. 2

    Complete The Application

    Provide the requested identification, contact, address, occupancy, employment, and utility service information.

  3. 3

    Complete Bank Draft Form If Needed

    If you want to sign up for bank draft, complete the form on the back.

  4. 4

    Sign And Date

    Sign and date the application to acknowledge responsibility for terminating service when moving or transferring locations.

  5. 5

    Submit To The City

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Utility Services Application request?
It requests applicant identification and contact details, service and billing addresses, occupancy status, employment information, and the type of utility service requested.
How do I submit the Utility Services Application?
Submit it to the city department named on the form; check the city website for current contact details.
Do I need a notary for the Utility Services Application?
No. This application is signed and dated without a notary, and it mentions no notarized or sworn attachment.

Need something notarized?

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