Chickamauga, GA · Walker County

No notary required

Utility Application

Chickamauga residents applying for city utility service use this application to provide household, contact, employment, and service information.

What this form is

The Utility Application is for people applying for utility service from the City of Chickamauga. It asks for applicant and spouse details, service and previous addresses, employment information, personal references, and landlord contact information. Applicants also select garbage pickup days and acknowledge the city’s electric and water service policies by signing and dating the form.

Who needs it

Residents applying for Chickamauga utility service should complete the form with their household, service address, and requested personal and reference information.

How to submit it

Submit the completed form to the City of Chickamauga, P.O. Box 69, Chickamauga, Georgia 30707; the form also lists (706) 375-3177.

About notarization

This document is signed and dated without a notary; the signer acknowledges the utility policies, and the form lists no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Chickamauga Utility Application PDF.

  2. 2

    Complete The Form

    Enter the requested applicant, household, address, employment, reference, and garbage pickup information.

  3. 3

    Review And Sign

    Read the utility policies, then sign and date the application.

  4. 4

    Submit To The City

    Submit the completed form to City of Chickamauga, P.O. Box 69, Chickamauga, Georgia 30707.

Frequently asked questions

Who should complete the Chickamauga Utility Application?
Residents applying for City of Chickamauga utility service should complete the application with their household and service information.
What information does the utility application ask for?
It asks for applicant and spouse details, service and previous addresses, employment information, personal references, landlord contact information, and garbage pickup days.
How do I submit the Chickamauga Utility Application?
Submit the completed form to the City of Chickamauga, P.O. Box 69, Chickamauga, Georgia 30707. The form lists (706) 375-3177.
Do I need a notary for the Chickamauga Utility Application?
No. The form has a signature and date line but no notary block; the signer acknowledges the utility policies, and no sworn or notarized attachment is listed.

Need something notarized?

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