La Grange, NC · Lenoir County
Prepaid Application for Service
La Grange customers use this application to request utility services and agree to the town’s prepaid account requirements.
What this form is
This application lets customers request electricity, garbage carts, area lights, water, and sewer service from the Town of La Grange. It asks for customer and service-location details, contact information, and identification numbers, and explains responsibilities for maintaining a credit balance, charges, and notifying the town when moving. The customer and a town employee have signature and date lines.
Who needs it
Customers seeking prepaid utility service from the Town of La Grange should complete this application with their requested services and contact details.
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 document does not mention a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Prepaid Application for Service PDF.
- 2
Complete The Application
Print clearly, provide the requested customer and contact details, and mark the services requested.
- 3
Review And Sign
Review the account responsibilities, then sign and date the customer section.
- 4
Submit To The Town
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What services can I request with this application?
- The form lists electricity, garbage carts, area lights, water, and sewer as requested services. It also states that in-town garbage service is required.
- What information does the application ask for?
- It asks for customer and service-location details, mailing address, email, phone numbers, Social Security number, driver license number, issuing state, and requested services.
- Do I need a notary for the Prepaid Application for Service?
- No. The application has customer and town employee signature and date lines, but no notary block or notarized attachment is stated.
- How do I submit the Prepaid Application for Service?
- Submit it to the city department named on the form; check the city website for current contact details.