Cedartown, GA · Polk County
Temporary Services Application
Cedartown residents seeking temporary water service use this application to provide account, contact, service-address, and billing information.
What this form is
The application requests temporary water service, which is limited to nine days in one billing cycle and two uses per customer at each location without a deposit. Applicants provide identification, a rental or lease agreement or proof of ownership, and a $30 temporary service fee. The form also collects contact and service details, billing preferences, and the applicant’s signature and date.
Who needs it
A person requesting temporary water service in Cedartown must submit this application with identification, occupancy or ownership paperwork, and the temporary service fee.
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 is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Temporary Services Application PDF.
- 2
Complete The Application
Enter your contact, service-address, start-date, and billing information, then sign and date the form.
- 3
Gather Required Documents
Include picture identification and a rental or lease agreement or ownership paperwork, along with the $30 temporary service fee.
- 4
Submit The Application
Submit the 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 Services Application?
- No. The application is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Temporary Services Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What documents and fee does the application require?
- The form requires picture identification, a rental or lease agreement or ownership paperwork, and a $30 temporary service fee.
- How long can temporary water service last?
- The application states that service is limited to nine days in one billing cycle, with up to two uses per customer at each location without a deposit.
Need something notarized?
This Temporary Services Application doesn’t need a notary — but if you have another Cedartown form that does, a commissioned online notary can help.