What is the Union City Utility Service Application for?

It requests utility service and collects applicant, property, household, and billing information. It also includes optional direct debit and paperless billing sections.

What information does the application ask for?

It asks for contact and service details, applicant and property-owner information, household members, and signatures agreeing to the attached utility policies.

Do I need a notary for the Union City Utility Service Application?

No. The applicant and property owner sign and date the application. A voided personal check may be attached for direct debit, but the form does not require notarization.

How do I submit the Union City Utility Service Application?

The form lists the Village of Union City Utility Department at 419 E. Elm Street, Union City, OH 45390. It also provides the department phone number, (937) 968-4305.

Union City, OH · Darke County

No notary required

Utility Service Application

Union City residents or property owners use this application to request utility service and provide account, household, and property information.

What this form is

This application is for requesting water and sewer utility service at an address in Union City. It asks for applicant and property-owner information, service and billing addresses, household details, and signatures agreeing to the attached utility policies. The document also includes optional sections for utility bill direct debit and paperless billing, and lists connection and other utility charges.

Who needs it

Residents or property owners requesting utility service at a Union City address should complete the application and provide the requested information.

How to submit it

The form lists the Village of Union City Utility Department at 419 E. Elm Street, Union City, OH 45390; call (937) 968-4305.

About notarization

This document is signed without a notary; the applicant and property owner sign and date it, and a voided check may be attached for direct debit.

How to submit this form

1
Download The Application
Download the Union City Utility Service Application PDF.
2
Complete The Application
Fill in the requested applicant, service address, billing, household, and property-owner information, then sign and date the application.
3
Gather Optional Attachment
For direct debit, you may attach a voided personal check instead of completing the account information section.
4
Contact The Utility Department
The form lists the Village of Union City Utility Department at 419 E. Elm Street, Union City, OH 45390, and phone number (937) 968-4305.

Frequently asked questions

What is the Union City Utility Service Application for?: It requests utility service and collects applicant, property, household, and billing information. It also includes optional direct debit and paperless billing sections.
What information does the application ask for?: It asks for contact and service details, applicant and property-owner information, household members, and signatures agreeing to the attached utility policies.
Do I need a notary for the Union City Utility Service Application?: No. The applicant and property owner sign and date the application. A voided personal check may be attached for direct debit, but the form does not require notarization.
How do I submit the Union City Utility Service Application?: The form lists the Village of Union City Utility Department at 419 E. Elm Street, Union City, OH 45390. It also provides the department phone number, (937) 968-4305.

Need something notarized?

This Utility Service Application doesn’t need a notary — but if you have another Union City form that does, a commissioned online notary can help.