Sims, NC · Wilson County

No notary required

New Customer Application

New customers complete this application to request Town of Sims water service and provide household, contact, and service-start information.

What this form is

The Town of Sims New Customer Application collects customer and household details, contact information, a requested water service start date and time, and deposit payment information. It also includes a water-service liability statement for the customer to sign. The form asks for a driver’s license number and copy, but says disclosure of the Social Security number is voluntary.

Who needs it

People requesting new water service from the Town of Sims should complete the application and provide the requested customer and service information.

How to submit it

The form lists the Town of Sims at 6501 US Hwy 264 Alt, PO Box 161, Sims, NC 27880; it does not specify a submission method.

About notarization

This application is signed and dated without a notary; it requests a driver’s license copy, but does not say that copy must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Sims New Customer Application PDF.

  2. 2

    Complete Customer Information

    Fill in the requested customer, household, contact, and water service details.

  3. 3

    Gather The Requested Copy

    The form requests a copy of the customer’s driver’s license.

  4. 4

    Sign And Date The Form

    Sign and date the application and enter the requested service start date and time.

  5. 5

    Submit To The Town

    The form lists the Town of Sims mailing address but does not specify how to submit the application.

Frequently asked questions

Who should complete the New Customer Application?
People requesting new water service from the Town of Sims should complete the application with their customer, household, and requested service information.
What information does the application request?
It asks for customer and household details, contact information, requested service date and time, deposit payment information, and a driver’s license number and copy. Social Security number disclosure is voluntary.
Do I need a notary for the New Customer Application?
No. Sign and date the application without a notary. It requests a driver’s license copy but does not say that the copy must be notarized or sworn.
How do I submit the New Customer Application?
The form lists the Town of Sims at 6501 US Hwy 264 Alt, PO Box 161, Sims, NC 27880, but does not specify a submission method.

Need something notarized?

This New Customer Application doesn’t need a notary — but if you have another Sims form that does, a commissioned online notary can help.