Eastman, GA · Dodge County
Application for City Services
This application lets customers request city services and provides Eastman with contact, service address, and other customer information.
What this form is
Use this application to request city services in Eastman. It asks for the customer’s name, driver’s license number, service and mailing addresses, employer, phone number, household contacts, prior city service, and housing status. The customer signs and dates a statement that the information is true and acknowledges a warning about open faucets when service is turned on. Optional demographic information is also requested.
Who needs it
A person requesting city services in Eastman should complete the application with their contact, service address, and other requested information.
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 has no notary block; the customer signs and dates it, and no notarized attachment or related step is identified.
How to submit this form
- 1
Download The Application
Download the Application for City Services PDF.
- 2
Complete The Application
Fill in the requested customer, contact, service address, and household information.
- 3
Review And Sign
Review the statement about the accuracy of the information, then sign and date the application.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Application for City Services ask for?
- It requests contact details, service and mailing addresses, employer, household contacts, prior city service, and housing status. Demographic information is optional.
- Do I need a notary for the Application for City Services?
- No. This application has no notary block; the customer signs and dates it, and the form identifies no notarized attachment or related step.
- How do I submit the Application for City Services?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for City Services doesn’t need a notary — but if you have another Eastman form that does, a commissioned online notary can help.