Start City Utility Service

For City of Lebanon Utility Service, please read and fill out the form below.

A deposit of $200.00 is required for non-property owners before the account is set up and water turned on. (A deposit of $300.00 may be required in special circumstances). This deposit will be applied to the closing bill and any remaining credit will be refunded or, if applicable, be credited to the customer's new account. The deposit will not earn interest.

Please provide a signed lease or rental agreement or the warranty deed (title documents) with the completed application.

Accounts are due and payable upon billing each month. If the account is not paid by the 15th, a lien notice will be sent to the property owner. Payment information regarding your account may be provided to the owner of a property. Past due amounts constitute a lien on real property for which the service was provided. When a delinquent notice is processed, the account will be charged $5.00 plus 2% of any past due amount. Service will be discontinued if the account is not paid in full. A service fee of $50.00 is required when a work order is prepared instructing personnel to shut off a service for non-payment of account, not necessarily when the water is physically turned off. The after hours turn on fee is $100.00. These fees are subject to change by action of the Lebanon City Council.

I hereby promise to pay all bills for such service when due, and abide by all ordinances regulating the use of City utilities and any other rules and regulations which may be adopted by the City Council concerning said service.

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Service Information

Service Address *

Account #

Date Needed *

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Residence or Business? *

Residence

Business

Primary Applicant

First Name *

Middle Initial *

Last Name *

Phone Number *

Email Address *

Mailing Address *

Birth Date *

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Buying or Renting? *

Co-Applicant (if applicable)

First Name

Middle Initial

Last Name

Phone Number

Birth Date

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How would you prefer to be contacted to finish setting up your account? *

Phone

Have you had service with the City of Lebanon before? *

Yes

If yes, what address?

If you used a different name, please provide

Emergency Contact - please provide the names and phone numbers of two people not living with you (REQUIRED INFORMATION)

1. *

2. *

Property Owner Name *

Property Owner Address *

Ownership/Rental Documentation

Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf doc docx.

By selecting the “I Accept” button, you are signing this Agreement electronically. You agree that your electronic signature is the legal equivalent of having signed this Agreement in writing. By selecting “I Accept” using any device, means or action, you consent to be legally bound by the terms and conditions of this Agreement. You further agree that no certification authority or third-party verification is necessary to validate your e-signature, and that the lack of such certification or third-party verification will not in any way affect the enforceability of your e-signature or any resulting agreement between you and the City of Lebanon. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access the account, and that such persons will be bound by the terms of this Agreement.

Date Signed

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Start City Utility Service

For City of Lebanon Utility Service, please read and fill out the form below.

Contact Information