:: Johnson Utilities ::

Realtor Start New Service

Business/Company Name *

Contact Name *

Company Phone Number *

###

####

Email Address *

Tax Id Number *

This information is required to start service.

Im requesting *

Water & Sewer (130.00 Deposit) (130.00 deposit) If Johnson Utilities provides both water and sewer to a service address a 130.00 deposit maybe required

Water Only (60.00 deposit maybe required)

Sewer Only (85.00 deposit maybe required)

Deposit Information
Johnson Utility customers are required to place a deposit as security for payment of utility bills before utility services will be turned on. Deposits may be waived if the applicant has had comparable service with Johnson Utilities in the past two (2) years, was not delinquent in payment more than twice during the past twelve (12) consecutive months or have been disconnected for nonpayment during the past twelve (12) months. Deposits do accrue interest.
PLEASE NOTE: That you may qualify for "Temp Service" if you are a Realtor or Property Manager the deposit maybe waived (certain restrictions may apply). You will be responsible to turn services off.

Please have service connected on this date *

YYYY

Please allow 24 Hours in advance Monday-Friday
If today is Friday service will be connected the next business day which would be Monday

Please enter the address you wish to start service. *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Are you the:

Realtor

Property Manager

Bank

Mailing/Billing Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

I understand that there will be an establishment fee on my first months bill according to the service I require. *

yes

Establishment Fee for Water: $25.00
Establishment Fee for Sewer: $25.00

*SAMEDAY Establishment fees is different from above

Please type in your First and Last name. *

First

Last

By entering your First and Last name you are requesting Johnson Utilities to establish service to the address you provided starting on the date you requested. You also give Johnson Utilities permission to contact you at the phone numbers provided. Johnson Utilities’ Customer Service Representative will be contacting you shortly to gather your security deposit payment please have your Visa, MasterCard, or Discover available. You request Johnson Utilities to turn on services at the address provided. Johnson Utilities will not be held responsible for any water damage that may occur. We strongly suggest someone be present at the home on the date requested services to be turned on. If you do not agree to this, we will not be able to process your request online and you will need to visit our office location or contact the Customer Service Call Center at 480-987-9870.

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