Online Residential Utilities Application

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Residential applicants, please complete form below to apply for WATER/SEWER/REFUSE services.

You will be contacted with a NEW account number and service fee/deposit information once the application and supporting documentation (if applicable) is received and processed.
Deposit AND service fees are due at sign-up BEFORE the account is set-up for service.

Questions? Contact Us: Phone: (623) 333-2005 Email: waterbilling@avondaleAZ.gov

Please correct the fields below:

Please correct the field(s) marked in red below:

Turn-on Service Fee Non-refundable		ANY Next Business Day $60	Same Day $100 If requested by 2:00PM
Deposit Options		Service Fee + Deposit
Deposit Waived* Letter of credit from any utility company showing good payment history for preceding 12 months must be PROVIDED WITH APPLICATION.	$0	$60	$100
Deposit - Standard	$175	$235	$275
Deposit - Installment	$200	$160 1st bill; $100 2nd bill ($260 Total)	$200 1st bill; $100 2nd bill ($300 Total)
Deposit - Unoccupied Property	$250	$310	$350
* If deposit is waived, a new deposit may be required if all bills are not paid timely.

Choose ONE Service Fee + Deposit option

*

Choose ONE Service Fee + Deposit option

Please attach Letter of credit for deposit waiver (if applicable)

Upload docs

Click button for uploading file

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Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

CONNECTION INFORMATION.

*

CONNECTION INFORMATION.

Connection Date (M-Th ONLY):

Property Purchase/Lease Date

Avondale Property Address:

Applicant Legal Relationship to Property:

*

Applicant Legal Relationship to Property:

Owner (Settlement statement/closing disclosure required.)

Tenant (Copy of the signed lease agreement required.)

Property Manager (Management agreement required.)

Please attach the supporting documentation required for applicant type:

Upload docs

Click button for uploading file

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Applicant Information:

*

Applicant Information:

Full Name or Business Name

Phone Numberext.

Email Address

Last 4 digits of SSN#

Driver's License #

Is there a Co-Applicant? (not required)

*

Is there a Co-Applicant? (not required)

Yes

No

Is the MAILING address the SAME as the SERVICE address?

*

Is the MAILING address the SAME as the SERVICE address?

Yes

No

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