Mount Vernon, GA · Montgomery County

No notary required

New Customer Set-Up

New customers use this form to set up Mount Vernon water and sewer service and provide account details and required supporting paperwork.

What this form is

This form sets up a new customer account for Mount Vernon water and sewer service. Applicants provide contact and identification details, the service and mailing addresses, and information about prior household water service. A copy of a lease or rental agreement or purchase paperwork is required. The form also includes terms and an optional authorization for direct payment by ACH.

Who needs it

Anyone setting up a new Mount Vernon water and sewer account should complete the form and provide a copy of lease, rental, or purchase paperwork.

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 document is signed without a notary; the customer signs and dates the set-up form and any chosen ACH authorization.

How to submit this form

  1. 1

    Download the Form

    Download the New Customer Set-Up PDF.

  2. 2

    Complete the Form

    Print clearly and provide the requested account, contact, service address, and identification information.

  3. 3

    Gather Required Paperwork

    Include a copy of your lease or rental agreement, or purchase paperwork.

  4. 4

    Submit to the City

    Submit the completed form and supporting paperwork to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who should complete the New Customer Set-Up form?
Anyone setting up a new Mount Vernon water and sewer account should complete the form and provide the required lease, rental, or purchase paperwork.
What paperwork must accompany the form?
The form requires a copy of your lease or rental agreement, or purchase paperwork.
Do I need a notary for the New Customer Set-Up form?
No. This document does not require a notary. Sign and date the set-up form; if you choose the ACH authorization, sign and date that section too.
How do I submit the New Customer Set-Up form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This New Customer Set-Up doesn’t need a notary — but if you have another Mount Vernon form that does, a commissioned online notary can help.