Mount Gilead, NC · Montgomery County
Customer Application For Connection
This application collects customer and property owner information from people requesting a water connection from the Town of Mount Gilead.
What this form is
Use this application to request a water connection from the Town of Mount Gilead. It asks for the applicant’s contact and identifying information, residence and billing addresses, and, if different, the property owner’s information. The form states that the connection fee is non-refundable and $100; it also explains that providing a Social Security number is voluntary.
Who needs it
People requesting a water connection from the Town of Mount Gilead can use this application to provide customer and, when applicable, property owner information.
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 document does not require a notary; it mentions no notarized attachment or related sworn step, and asks the applicant to provide information.
How to submit this form
- 1
Download The Application
Download the Customer Application For Connection PDF.
- 2
Complete The Requested Information
Provide your contact, residence, billing, and identifying information, along with property owner information if applicable.
- 3
Review The Connection Fee
The form lists a non-refundable $100 connection fee.
- 4
Submit The Application
Submit it 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 Customer Application For Connection?
- No. The document does not require a notary and mentions no notarized attachment or related sworn step.
- How do I submit the water connection application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application request?
- It asks for customer contact and address details, identifying information, and property owner details if the owner is different.
- What connection fee does the form list?
- The form lists a non-refundable $100 connection fee.
Need something notarized?
This Customer Application For Connection doesn’t need a notary — but if you have another Mount Gilead form that does, a commissioned online notary can help.