Benton, IL · Franklin County

No notary required

Application for New Service

Benton residents requesting new water and sewer service use this application to provide applicant, property, and service details and accept billing responsibility.

What this form is

Use this application to request installation of new water and sewer service in Benton. It asks for applicant and co-applicant information, service address, property and residency details, requested service date, and deposit information, along with signatures accepting responsibility for water and sewer bills. For property outside city limits, a direct or 20-year annexation agreement must be signed and approved before water service can be established.

Who needs it

Residents requesting new water and sewer service at an address in Benton should complete the application.

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; for property outside city limits, a direct or 20-year annexation agreement must also be signed and approved.

How to submit this form

  1. 1

    Download The Application

    Download the Application for New Service PDF.

  2. 2

    Complete The Application

    Fill in applicant and co-applicant details, service and property information, and the requested service date.

  3. 3

    Gather Required Agreement

    If the property is outside city limits, arrange for a direct or 20-year annexation agreement to be signed and approved.

  4. 4

    Submit To The City

    Submit the completed 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 Application for New Service?
No. The application is signed and dated without a notary. For property outside city limits, a direct or 20-year annexation agreement must also be signed and approved.
Who should use this application?
Anyone requesting installation of new water and sewer service at an address in Benton should complete the application.
What information does the application ask for?
It asks for applicant and co-applicant details, service address, property information, requested service date, deposit information, and signatures accepting responsibility for bills.
How do I submit the Application for New Service?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for New Service doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.