Start Water Service | City of Pittsburg, KS

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What type of service are you applying for?(Required)

Residential

Commercial

Name of Business?(Required)

Name:(Required)

First Last

Do you currently have an account with us?(Required)

Yes

No

What is your current address?(Required)

New Service Address:(Required)

Billing Address(Required)

Do you rent or own the property where you are applying for service?(Required)

Own

Rent / Lease

Landlord Name:(Required)

Date for Start of Service:(Required)

we cannot start service more than 7 days in advance

Tax ID Number?(Required)

Social Security Number:(Required)

Driver's License or ID Number(Required)

Drivers License State(Required)

Date of Birth(Required)

You must be at least 18 years old to start new water service in your name.

Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number:(Required)

Place of Employment(Required)

if unemployed, student, or retired please designate

Please submit the following documents: RENTAL PROPERTY: Please submit a copy of the first page of your lease with the landlord’s name, the tenant’s name(s), and the address along with a copy of the signature page. PURCHASING: if you are buying your home, please submit a copy of your Real Estate Purchase Agreement. Note: if you have questions about what you need to submit, please call (620) 231-4100 for assistance.

Please upload the following documents:

1) Tax ID
2) RENTAL PROPERTY: Please submit a copy of the first page of your lease with the landlord’s name, the tenant’s name(s), and the address along with a copy of the signature page.
PURCHASING: if you are buying your property, please submit a copy of your Real Estate Purchase Agreement. Note: if you have questions about what you need to submit, please call (620) 231-4100 for assistance.

Please remember to click the blue upload button above this before proceeding to the next step.
Note: We are asking you fill in the fields above again for additional security verification.

Is there a secondary Account Holder?(Required)

Yes

No

Name

First Middle Last

Social Security Number

Drivers License or ID Number

Date of Birth

Place of Employment

if unemployed, student, or retired please designate

Phone Number

Email

Enter Email Confirm Email

Please upload the following documents:

RENTAL PROPERTY: Please submit a copy of the first page of your lease with the landlord’s name, the tenant’s name(s), and the address along with a copy of the signature page. PURCHASING: if you are buying your home, please submit a copy of your Real Estate Purchase Agreement. Note: if you have questions about what you need to submit, please call (620) 231-4100 for assistance.

Please remember to click the blue upload button above this before proceeding to the next step.
Note: We are asking you fill in the fields above again for additional security verification.

Based on your application, you have selected that you are renting or leasing this property. A security deposit is required. For your convenience, you may choose to pay for your new Water Service Deposit online (shown below) or you may call (620) 231-4100 and talk with one of our Customer Service Specialists during normal business hours.

Based on your application, you have selected that you are renting or leasing this property and are currently renting in the City of Pittsburg. Our Customer Service Specialists will review your current account and call you at the number you provided within 24 to 48 hours.

YOUR APPLICATION ISN’T COMPLETE UNTIL YOU CLICK THE GREEN BUTTON BELOW

Based on your application you have selected that you own this property. A security deposit is not required. If you have any questions you may call (620) 231-4100 and talk with one of our Customer Service Specialists during normal business hours.

A connection fee is required if the water service is currently disconnected. If this is necessary there will be a fee added to your first months bill. The current fees are

Inside City Limits is a one time fee of $10
Outside City limits is a one time fee of $20

Where is the property located?(Required)

Inside the City Limits

Outside the City Limits

Telephone Number where we can reach you?

Preferred method of contact?

Phone Call

Email

Preferred Time of Day to reach you?

8:00 am -10:00 am

10:00 am – 2:00 pm

2:00 pm – 4:00 pm

Credit Card

Cardholder Name

Card Details

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