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Application & Agreement for Residential / Commercial Utility Service

  1. City of Vermillion Logo
  2. APPLICATION & AGREEMENT FOR RESIDENTIAL/COMMERCIAL UTILITY SERVICE

    NOTE: PAYMENT OF ALL DEPOSITS AND FEES ARE DUE BEFORE SERVICE WILL BE ESTABLISHED.

  3. MON-FRI 8AM TO 4PM, EXCLUDING HOLIDAYS

  4. If you do not have a check, attach a bank record that includes a complete account number and bank routing number. For further questions, contact the Finance Office at 605-677-7056.

  5. Utility Deposit  Fee Schedule 2023
  6. Acknowledgement of Fees*

    I acknowledge that completing this application will start all applicable services (electric, water, sewer, recycling, security light and/or mobile home fees) provided to this address and I am personally responsible for all charges including any late fees. Utility services will continue in my name until I request them to be terminated unless service is disconnected for nonpayment of the utility account as outlined by our disconnect policies. All applicable residential deposits will be applied onto my final bill after service is disconnected. As a utility customer, I agree to comply with all City ordinances and will provide access to the utility meters for reading and/or maintenance.

  7. FOR OFFICE USE ONLY
  8. Account Number:
  9. Deposit Amount:
  10. Receipt Number:
  11. Outstanding Accounts:
  12. Leave This Blank: