Jefferson, GA · Jackson County
Utility Registration Form
The form a utility company files to register with the City of Jefferson before working in the public right-of-way, with the registrant's signature notarized.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Utility companies that want to perform work within Jefferson's public right-of-way must first register with the city's Planning & Development Department. The registration form requires the registrant's certification to be signed and notarized, along with a copy of the utility's certificate of authority and service agreement.
Who needs it
Utility companies and their authorized representatives registering to work in Jefferson's public right-of-way.
Why it needs a notary
The Registrant Certification section includes a dedicated 'Signature of Notary Public' line and notary seal, so the registrant's signature must be notarized before the city will accept the registration.
How to get this notarized
- 1
Download the Form
Get the Utility Registration Form PDF from Jefferson's Forms page.
- 2
Fill in Registrant Details
Complete the registrant, owner, and emergency contact information.
- 3
Book an Online Notary Session
Schedule a remote online notarization appointment with Rush Notary.
- 4
Sign on Video with ID Verification
Verify your identity and sign the registrant certification during the video session.
- 5
Submit to Jefferson Planning & Development
Deliver the notarized form with the required attachments to the city.
Preview the form
The blank PDF straight from Jefferson. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- Do I need to notarize the Jefferson utility registration form?
- Yes. The Registrant Certification section includes a dedicated notary signature line and seal that must be completed before the city will accept the registration.
- How do I get this form notarized online?
- Complete the registrant and emergency contact details, then meet a remote online notary by video to sign and have your signature notarized.
- Where do I submit the notarized form?
- Submit it to Jefferson's Planning & Development Department, 147 Athens Street, Jefferson, GA, along with your certificate of authority and service agreement.
- What else do I need to include with this form?
- The city also requires a copy of the utility's certificate of authority and a copy of the service agreement.