Stephens City, VA · Frederick County

No notary required

New Utility Account Application

New Stephens City utility customers use this application to request water and sewer service and provide account, contact, and billing preference information.

What this form is

Use this application to request a new utility account for service in Stephens City; renters must also provide an owner authorization form. It asks for the service and mailing addresses, customer contact details, business information if applicable, a preferred billing method, and customer signatures agreeing to the utility billing terms.

Who needs it

People requesting a new utility account in Stephens City should complete this application; renters must provide an owner authorization form.

How to submit it

The form lists the Town of Stephens City at P.O. Box 250, Stephens City, VA 22655, and [email protected]. It does not specify how to submit the application.

About notarization

This document is signed without a notary; the primary customer and optional secondary customer sign and date it, and renters must provide an owner authorization form.

How to submit this form

  1. 1

    Download The Application

    Download the New Utility Account Application PDF.

  2. 2

    Complete The Form

    Provide the service and mailing addresses, customer details, business information if applicable, and billing preference.

  3. 3

    Gather Required Attachment

    If you are a renter, provide the required owner authorization form.

  4. 4

    Sign And Date

    The primary customer signs and dates the application; the secondary customer may also sign.

  5. 5

    Contact The Town

    Use the mailing address or clerk email listed on the form to contact the Town about submitting it.

Frequently asked questions

Who uses the New Utility Account Application?
People requesting a new Stephens City utility account use this application to provide service, customer, and billing information.
Do I need a notary for the New Utility Account Application?
No. The customer signs and dates the application without a notary. Renters must provide an owner authorization form.
How do I submit the New Utility Account Application?
The form lists the Town's mailing address and clerk email, but does not specify a submission method. Contact the Town using the details printed on the form.
What must renters provide with the application?
The form states that an owner authorization form is required for all renters.

Need something notarized?

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