Application For Utility Service

  • Date Format: MM slash DD slash YYYY
    Select the date that you would like services to begin.
  • If applicable
  • If different than service address
  • Applicant One

  • Applicant Two

  • Emergency Contact

    In case emergency services are required, and we are unable to locate you, please list a fried or relative we may contact.

  • I/we agree to pay for all utilities provided to me/us by the City of Williamsburg. If I/we fail to pay bills on a timely basis, I/we understand that utility service may be discontinued. Should I/we leave the City of Williamsburg service area with an outstanding balance due, or should my/our service be disconnected for non-payment, my/our deposit will be credited to said outstanding account, and the balance, if any, will be forwarded to me/us. I/we also understand the City of Williamsburg will utilize any and all means available to collect any unpaid balance, if any, remaining on my/our account. In case of a disconnection for non-payment, I/we understand that full payment of any outstanding balance up to and including the date of disconnection plus service charge will be required in order to have service reconnected at any location in the City of Williamsburg service area. I/we understand that in the event that the service location is being rented, my/our landlord may request information or be notified of the status of my/our account.


  • Date Format: MM slash DD slash YYYY