Burgaw, NC · Pender County
Application for Utilities
This application lets residential customers request utility service from the Town of Burgaw and provide account, contact, and co-applicant information.
What this form is
Residential applicants use this form to request utility service and provide service and billing addresses, contact details, and applicant information for a credit check. The form says all information above must be completed and the applicant must pay $5.00 for the credit check. It also includes billing terms, an optional automatic draft form, and fields for co-applicant and landlord information.
Who needs it
Residents applying for utility service in Burgaw should complete this form, including co-applicant details when applicable.
How to submit it
The form lists Town of Burgaw, 109 North Walker Street, Burgaw, NC 28425, and [email protected]; contact the Town to confirm delivery options.
About notarization
This application has no notary requirement; the applicant and co-applicant sign and date it, and the automatic draft authorization is a separate form.
How to submit this form
- 1
Download The Application
Download the Town of Burgaw Application for Utilities PDF.
- 2
Complete The Application
Fill in the applicant, service address, billing, and contact details, plus co-applicant information when applicable.
- 3
Gather Related Information
If the home is a rental, provide the landlord's name, address, and phone number. For automatic draft, fill out the separate authorization form.
- 4
Submit To The Town
Use the Town contact information listed on the form to confirm how to submit the completed application.
Frequently asked questions
- Who should complete the Application for Utilities?
- Residential customers requesting utility service from the Town of Burgaw should complete the application. It includes fields for applicant and optional co-applicant information.
- What information does the application request?
- It asks for service and billing addresses, contact and applicant details, and co-applicant information. It also has fields for a landlord if the home is a rental.
- Do I need a notary for the Application for Utilities?
- No. This application has no notary requirement; the applicant and co-applicant sign and date it. The automatic draft authorization is a separate form.
- How do I submit the Application for Utilities?
- The form lists Town of Burgaw, 109 North Walker Street, Burgaw, NC 28425, and [email protected]. Contact the Town to confirm delivery options.
Need something notarized?
This Application for Utilities doesn’t need a notary — but if you have another Burgaw form that does, a commissioned online notary can help.