Carbon Cliff, IL · Rock Island County
Application for Utility Service (Water / Sewer / Garbage)
Property owners or applicants use this application to request water, sewer, and garbage utility service from the Village of Carbon Cliff.
What this form is
This application requests water, sewer, and garbage utility service from the Village of Carbon Cliff and states that acceptance makes the application subject to Village ordinances. It asks for the property owner’s name, service and mailing addresses, contact information, effective date, and signature; the form also lists a required $200 utility deposit and includes an optional credit card authorization.
Who needs it
A property owner or other applicant seeking water, sewer, and garbage service at a Carbon Cliff property needs to complete this 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; the form asks the applicant to sign and date, and lists no sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the Application for Utility Service for water, sewer, and garbage.
- 2
Complete The Application
Enter the property owner, service address, contact information, and effective date, then sign and date the application.
- 3
Review Payment Information
The form lists a required $200 utility deposit and includes a credit card authorization section.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Carbon Cliff utility service application?
- A property owner or other applicant seeking water, sewer, and garbage service at a Carbon Cliff property uses this application.
- What information does the application request?
- It asks for the property owner’s name, service and mailing addresses, contact information, effective date, and applicant signature. It also includes a credit card authorization section.
- Do I need a notary for the Carbon Cliff utility service application?
- No. The application asks the applicant to sign and date it; it lists no sworn or notarized attachment.
- How do I submit the Carbon Cliff utility service application?
- The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.