Who uses the Residential Utility Service Application?

Homeowners and renters requesting residential water or sewer service in Jefferson use this application to provide applicant, service address, and contact details.

What documents must I include?

Homeowners submit a driver license and closing documents. Renters submit a driver license and lease agreement, as listed on the application.

Do I need a notary for the Residential Utility Service Application?

No. The application is signed and dated without a notary. The listed driver license and closing documents or lease agreement are not identified as notarized.

How do I submit the Residential Utility Service Application?

Email the application to customerservice@jeffersonga.gov or contact the Public Utilities Department at 1048 Washington Street, Jefferson, GA 30549.

Jefferson, GA · Jackson County

No notary required

Residential Utility Service Application & Agreement

Jefferson residents use this application to request residential water or sewer service and agree to the service conditions and charges.

What this form is

The Residential Utility Service Application & Agreement lets applicants request water or sewer service at a residential address and agree to the attached Conditions of Service and applicable charges. Homeowners provide a driver license and closing documents; renters provide a driver license and lease agreement. The form asks for applicant details, service and mailing addresses, requested service, and a requested start date.

Who needs it

Homeowners and renters seeking residential water or sewer service at an address in Jefferson should complete this application.

How to submit it

Email the application to [email protected] or contact the Public Utilities Department at 1048 Washington Street, Jefferson, GA 30549. The form lists a $60 account establishment fee and a $200 deposit.

About notarization

This application is signed and dated without a notary; submit the listed driver license and closing documents or lease agreement, which the form does not identify as notarized.

How to submit this form

1
Download The Application
Download the Residential Utility Service Application & Agreement PDF.
2
Complete The Form
Enter the requested service, applicant, contact, service address, and mailing address information.
3
Gather Required Documents
Homeowners include a driver license and closing documents; renters include a driver license and lease agreement.
4
Submit The Application
Email the application to [email protected] or contact the Public Utilities Department at the address on the form.

Frequently asked questions

Who uses the Residential Utility Service Application?: Homeowners and renters requesting residential water or sewer service in Jefferson use this application to provide applicant, service address, and contact details.
What documents must I include?: Homeowners submit a driver license and closing documents. Renters submit a driver license and lease agreement, as listed on the application.
Do I need a notary for the Residential Utility Service Application?: No. The application is signed and dated without a notary. The listed driver license and closing documents or lease agreement are not identified as notarized.
How do I submit the Residential Utility Service Application?: Email the application to [email protected] or contact the Public Utilities Department at 1048 Washington Street, Jefferson, GA 30549.

Need something notarized?

This Residential Utility Service Application & Agreement doesn’t need a notary — but if you have another Jefferson form that does, a commissioned online notary can help.