Anna, OH · Shelby County
Utility Application Form
Anna residents use this application to provide information for a utility account and accept responsibility for bills while the account is in their name.
What this form is
This application gathers contact and account information for utility service in Anna, including the applicant’s name, service and billing addresses, date of birth, phone number, and effective date. It also requests employment information, details about other individuals age 18 or older, a deposit, and a start reading. The applicant signs to accept responsibility for utility bills while the account is in their name.
Who needs it
Residents applying for utility service in Anna should complete the form and sign to accept responsibility for bills in their name.
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 without a notary; the signer just signs and dates it on the form.
How to submit this form
- 1
Download The Application
Download the Utility Application Form for Anna.
- 2
Complete The Form
Fill in the requested personal, contact, service, and account information.
- 3
Review And Sign
Review the information, then sign and date the application.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who should complete the Utility Application Form?
- Residents applying for utility service in Anna can use the form to provide account information, including service and billing addresses, contact details, and a start reading.
- What information does the utility application request?
- The form requests personal and contact information, service and billing addresses, an effective date, employment information, details about other individuals age 18 or older, a deposit, and a start reading.
- Do I need a notary for the Utility Application Form?
- No. This application is signed and dated without a notary. The form does not mention a notarized or sworn attachment.
- How do I submit the Utility Application Form?
- Submit it to the city department named on the form; check the city website for current contact details.