Purcellville, VA · Loudoun County
Utility Service Application
This application requests water and sewer utility service from the Town of Purcellville and is filed by a customer establishing an account at a Purcellville service address.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this application to request utility service at a Purcellville address, provide customer and service details, and agree to pay charges for services rendered. The Town requires a completed application, picture ID, and the required deposit to establish a new account; at least 24 hours’ notice is required for new connections. Applicants unable to appear in person must have the application notarized.
Who needs it
Customers establishing a new utility account at a Purcellville service address must complete this application and provide the required identification and deposit.
Why it needs a notary
The form carries an acknowledgment and oath block; the applicant and any co-applicant signing the application must appear before the notary when unable to appear in person.
How to get this notarized
- 1
Download the Application
Get the Town of Purcellville Utility Service Application.
- 2
Complete the Form
Fill in the service address, requested start date, customer details, and other applicable fields.
- 3
Book an Online Notary
If you cannot appear in person, schedule a commissioned online notary before signing.
- 4
Sign on Video
Sign the application during the online notary video session.
- 5
Submit to the Town
Send the notarized application, required ID, and deposit to the Town of Purcellville.
Preview the form
The blank PDF straight from Purcellville. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the utility service application notarized?
- Complete the application, then book a commissioned online notary. Sign during the video session and submit the notarized form with the required ID and deposit to the Town.
- Do I need to notarize this application?
- Only if you are unable to appear in person. The Town says new applicants must otherwise appear in person and provide valid ID.
- What should I submit with the application?
- The Town lists a completed application, picture ID, and required deposit for new accounts. Service will not be connected without an approved application and paid deposit.
- Can I use online notarization for this form?
- Virginia is widely credited as the first U.S. state to authorize remote online notarization, effective July 1, 2012. A commissioned online notary can notarize your application remotely; confirm with the city, town, or county if unsure.