Springfield, GA · Effingham County
Temporary Service Application
Applicants use this form to request temporary utility service and provide contact, service address, identification, and property-owner information.
What this form is
The Temporary Service Application requests a temporary service connection and collects the applicant’s contact and identification details, service address, requested connection date, and property-owner information when applicable. The form states that temporary service cannot remain on for longer than three weeks from connection; applicants who need service longer must complete a regular service application and pay a deposit. It also explains the applicant’s responsibility for bills.
Who needs it
Anyone requesting a temporary service connection from the city should complete this application and provide the requested service and applicant 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 applicant signs and dates it, and no notarized attachment or related step is listed.
How to submit this form
- 1
Download The Application
Download the Temporary Service Application PDF.
- 2
Complete The Form
Provide the requested applicant, contact, service address, connection date, and property-owner information, if applicable.
- 3
Review And Sign
Review the billing responsibility statement, then sign and date the application.
- 4
Submit To The City
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Temporary Service Application?
- No. The applicant signs and dates this application; it does not list a notarized attachment or related notarized step.
- How do I submit the Temporary Service Application?
- Submit it to the city department named on the form. Check the city website for current contact details.
- How long can temporary service remain on?
- The form states that temporary service cannot remain on for longer than three weeks from the service connection date.
- What if I need service for longer than three weeks?
- The form says you must complete a regular service application and pay a deposit if you plan to keep service on longer.
Need something notarized?
This Temporary Service Application doesn’t need a notary — but if you have another Springfield form that does, a commissioned online notary can help.