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Application for Transferring Residential Utility Services

  1. PublicWorks
  2. City of Waynesboro Application For Transferring Utility Services

    ****This form is ONLY for moving from a city address to a city address****  

    The deposit for residential tenants (renters) shall be billed at a rate of $75.00 over the first 2 billing cycles for a total of $150.00. This deposit will transfer if tenant is moving into another residential rental. 

    Please contact the City of Waynesboro Utilities Office at 942-6643, Option 4, if you have any questions

  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. Current Service Address in Waynesboro
  6. New Service Address in Waynesboro
  7. Mailing Address (If Different than New Service Address)
  8. WEEKLY REFUSE PICKUP

    RATE: $17.50 (AS OF JULY 1, 2022) PER MONTH PER CAN.  BILLED ON WATER BILL EVERY 2 MONTHS ($35.00).

    THIS SERVICE IS OPTIONAL AND INCLUDES:

    1. WEEKLY REFUSE PICKUP OF 55 GALLON CITY ISSUED CAN.  (REFUSE DIVISION WILL NOT PICK UP PERSONAL CANS).  ADDITIONAL CANS ARE ADDITIONAL 17.50/MONTH PER CAN.

    PLACE CAN OUT BEFORE 6AM TO ENSURE PICKUP.

    TRASH OUTSIDE OF THE CAN MAY NOT BE PICKED UP

    2. TWO FREE BULK PICKUPS PER CALENDAR YEAR (SCHEDULE WITH REFUSE DIVISION 540-942-6764)

    TO SEE WHEN YOUR STREETS PICK UP IS VISIT https://www.waynesboro.va.us/309/Refuse

  9. Garbage Service?*
  10. Primary Applicant
  11. Secondary Applicant

    (This person is also responsible for the bill, and can make changes to the account. )

  12. (City may contact and/or contact City on your behalf. This individual is not responsible for the bill, but city staff can discuss account information with them)
  13. Leave This Blank:

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