Form Center

2. 
4. APPLICATION & AGREEMENT FOR RESIDENTIAL/COMMERCIAL UTILITY SERVICE

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

6. First Name and Middle Initial*
7. Last Name*
8. Service Address*
9. Phone Number*
11. Email Address*
12. Date of Birth*
13. Personal ID Number*
14. State Issued*
16. Start (Connection) Date*
    Start (Connection) Date

    MON-FRI 8AM TO 4PM, EXCLUDING HOLIDAYS

17. Have you had service with us before? *
    -- Select One --YesNo
18. If yes, where?*
19. Is the mailing address the same as the service address?*
    -- Select One --YesNo
21. Address*
22. City*
23. State*
24. Zip Code*
26. Would you like to set up automatic payment?*
    -- Select One --YesNo
27. If yes, please attach a voided check.*

    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.

28. Are you interested in receiving your bill by email?*
    -- Select One --YesNo
29. Do you also want to receive a bill in the mail?*
    -- Select One --YesNo
31. 
33. 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.

    1. I acknowledge.
35. Electronic Signature*
36. Date*
    Date
38. FOR OFFICE USE ONLY
40. Account Number:
41. Deposit Amount:
42. Receipt Number:
43. Outstanding Accounts:
Leave This Blank:


45. Submit Submit and Print

* indicates a required field