lebanonohio.gov - Sign Up for Utility Service

Lebanon, OH - Official Website

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Lebanon, OH - Official Website About Share Delicious Digg Facebook Google MySpace StumbleUpon Twitter Yahoo About Us Agendas & Minutes Bid Postings Board Meeting Information City Annual Reports City Newsletter Community Links Employment Lebanon Channel 6 Sign Up for Utility Service You are here: Home > Forms   Application for Utility Service Leave This Blank: Online applications are not misogynist for rental or leased property. Rental applicants must provide petrifaction and a reprinting of the lease in person to the Service Department. Applicant Information First Name Middle Initial Last Name Date of Birth Social Security Number (optional)WriteStreet Number Street Name Apartment Number Contact Home Phone Alternative Phone EmailWriteEmployer Employer Name EmployerWriteSpouse Information Spouses Name Spouses Employer Spouses EmployerWriteMailingWriteComplete this section if your mailing write is variegated from the service write above.Write1Write2 City State Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C. ZipSpareAdult Occupants Please list any spare sultana occupants at the service address. Service Requested Type of Service Required Residential Commercial If you selected residential, select the type of residence. Primary Residence Rental Property Service Date Date RequiredSpareRemarksPlease add any spare remarks. This request is to establish service for the pursuit services: electric, water, sewer, refuse hodgepodge (trash), and stormwater.The City requires a minimum of 24 hours notice to vivify utility service to this property.For service related questions, contact (513) 933-7200, Monday - Friday, 8:00 am - 4:30 pm. I certify that I shall be responsible for payment of all bills lawfully due with respect to whilom requested services until notification to discontinue service. I agree.           HomeAgendasFacebookMobile AppsContact UsCopyright NoticesAccessibilityStaff LoginPowered by CivicPlus 50 South Broadway Lebanon, OH 45036 Live EditClose