Black Creek, NC · Wilson County
Application for Public Utilities
This application is for Black Creek residents or other customers requesting electrical or water service from the town.
What this form is
Use this application to request electrical or water service from the Town of Black Creek. It asks for customer and co-applicant details, demographic information, service and mailing addresses, and the utilities requested. It also includes deposit fields and service terms covering billing, disconnection, deposits, and utility credit checks.
Who needs it
Customers requesting electrical or water service from the Town of Black Creek can use this application to provide their account and service 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 application is signed and dated without a notary; it lists no sworn statement or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Town of Black Creek Application for Public Utilities PDF.
- 2
Complete The Application
Fill in the customer and co-applicant details, addresses, demographic information, and requested utilities.
- 3
Review The Service Terms
Read the listed terms about utility service, billing, disconnection, deposits, and credit checks.
- 4
Sign And Date
Sign and date the application in the fields provided.
- 5
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 Application for Public Utilities?
- No. The application has signature and date fields but no notary block; it lists no sworn statement or notarized attachment.
- Who uses the Application for Public Utilities?
- Customers requesting electrical or water service from the Town of Black Creek use the application to provide customer, co-applicant, and service address information.
- What information does the application ask for?
- It asks for customer and co-applicant details, demographic information, service and mailing addresses, utilities requested, and deposit information.
- How do I submit the Application for Public Utilities?
- The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.