Churchville, NY · Monroe County
Application for Services
The Village of Churchville application lets residents request electric or sewer service and provide the contact, billing, and property information needed to set up service.
What this form is
Use this application to request electric or sewer service from the Village of Churchville. It asks for a service start date, applicant and billing details, whether the applicant rents or owns, and employer and alternate contact information. The form notes that a meter deposit may be required and asks applicants to present photo ID.
Who needs it
Residents requesting electric or sewer service from the Village of Churchville should complete this application and present photo ID.
How to submit it
Return the form in person to the Village of Churchville, 23 E. Buffalo St., PO Box 613, Churchville, NY 14428. Contact the Village at 585-293-3720 for information about a possible meter deposit.
About notarization
This application is signed and dated without a notary; the signer presents photo ID, and no notarized or sworn attachment is listed.
How to submit this form
- 1
Download The Application
Download the Village of Churchville Application for Services PDF.
- 2
Complete The Form
Select electric or sewer service and fill in the requested start date, applicant, billing, property, employer, and alternate contact details.
- 3
Gather Photo ID
Present photo ID with the application. Contact the Village for information about a possible meter deposit.
- 4
Return The Application
Return the form in person to the Village of Churchville at 23 E. Buffalo St., PO Box 613, Churchville, NY 14428.
Frequently asked questions
- Do I need a notary for the Application for Services?
- No. The application is signed and dated without a notary. Present photo ID with the application; no notarized or sworn attachment is listed.
- How do I submit the Application for Services?
- Return the completed form in person to the Village of Churchville at 23 E. Buffalo St., PO Box 613, Churchville, NY 14428.
- What services can I request with this application?
- The form provides checkboxes for electric and sewer service and asks for a service start date and applicant information.
- Is a deposit required for service?
- The form says a meter deposit may be required. Contact the Village of Churchville at 585-293-3720 for more information.