Christiansburg, VA · Montgomery County
Temporary Utility Service Connection Form
This form lets a Christiansburg utility account holder request a temporary water and solid waste service connection at a specified address.
What this form is
The Town of Christiansburg requires people or entities with water and solid waste service in their name to provide written instructions for a temporary service connection. The form records the account holder’s details, account number, connection address, and requested connection and disconnection dates. It also states the connection limits and fees and includes space for the account holder’s signature.
Who needs it
A person or entity with water and solid waste service in their name needs this form to authorize a temporary connection.
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 form has no notary block; the account holder signs and dates it, and the form mentions no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Temporary Utility Service Connection Form.
- 2
Complete The Form
Enter the account holder and service details, requested connection dates, and sign and date the form.
- 3
Gather The Lease Or Rental Agreement
The form includes an office-use field for verification that a lease or rental agreement has been provided.
- 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 can authorize a temporary utility connection?
- The document says the account holder is responsible for authorizing the connection and is the only person authorized to sign the form.
- What information does the form request?
- It asks for the utility customer’s name, account number, mailing and connection addresses, phone, email, and requested connection and disconnection dates.
- Do I need a notary for the Temporary Utility Service Connection Form?
- No. This form has no notary block; the account holder signs and dates it, and the form mentions no notarized or sworn attachment.
- How do I submit the Temporary Utility Service Connection Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Temporary Utility Service Connection Form doesn’t need a notary — but if you have another Christiansburg form that does, a commissioned online notary can help.