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Application for Starting Residential Utility Services

  1. PublicWorks
  2. City of Waynesboro Application For Starting Utility Services
    Residents requiring water, sewer, and trash services must complete this Service Application. The deposit for residential tenants shall be billed at a rate of $75.00 over the first 2 billing cycles for a total of $150.00. Bills come out Bi-Monthly. Please contact the City of Waynesboro Utilities Office at 942-6643, OPTION 4, if you have any questions. Please allow 24 Hours (M-F 8-5) for your request to be processed.
  3. Are You:*
  4. If you are RENTING please attach a complete copy of your RENTAL AGREEMENT/LEASE. If you have BOUGHT a property, please attach a copy of a PURCHASE AGREEMENT
  5. Service Address
  6. Mailing Address (If Different than Service Address)
  7. Garbage Service?*
  8. Primary Applicant
  9. Secondary Applicant
  10. (The City may contact this person or this person can contact the City on your behalf. This individual is not responsible for the bill)
  11. Please Note: Only the Account Holder and Authorized Users can make changes to the Utility Account
  12. Leave This Blank:

  13. This field is not part of the form submission.