Water & Garbage Service Application

This application is for property owner only.  We do not put services in the name of a renter.

You will be required to attach proof of purchase.  Please attach the top portion of your Settlement or Closing Statement.  

Do NOT attach a Warranty Deed or Real Estate Contract.  Document must show name of purchaser, address and date of closing.

Application for Water & Garbage

  1. Bluffdale City Utilities Application (Water & Garbage)
  2. (Must be Property Owner)

  3. (Must be Property  Owner)

  4. Rental

    Check here if this is a rental and you want your tenant to receive a courtesy copy of the bill.

  5. Purpose of Application:*
  6. Please attach a picture of the CLOSING STATEMENT from your closing documents with name, address & date of closing. NO Real Estate contracts or deeds. NO password protected documents.

  7. When application is received, the account will be set up. There will be no other notification until the first bill arrives.

  8. Set-up Fee

    A set-up fee of $40 will be added to your first billing.

  9. Electronic Signature*

    By checking 'I Agree', you agree to acknowledge that you are the property owner and that your electronic signature is valid and binding in the same force and effect as a handwritten signature.

  10. Acknowledgement:

    I, the undersigned, hereby apply for utility services from Bluffdale City for the above named premises and agree to pay any and all charges incurred for said services (including but not limited to culinary water, storm water, street lights and garbage collection) in accordance with rates fixed by Bluffdale City. Failure to pay my bill in full by the 25th of each month or having an excessive or extended balance, may result in an interruption or disconnection of service(s). I recognize and consent that a re-connection fee (per fee schedule) will be assessed. Payment in full of all outstanding charges, including the re-connection fee will be required before services can be restored. Damage By Customer: All damages or injury to the lines, meters or other materials of the city on or near the customer's premises caused by any act or neglect of the customer shall in the discretion of the city be repaired by and at the expense of the customer, and the customer shall pay all costs and expenses, including reasonable attorney fees, which may arise or accrue to the city through its efforts to repair the damage to the lines, meters or to other equipment of the department, or collect such costs from the customer. (Ord. 5-27-80-1, 5-27-1980, eff. 5-28-1980) Failure to pay said charges will result in interruption of services. I agree to pay all reasonable attorney fees and other costs incurred by Bluffdale City to obtain collection on this account, whether or not litigation is actually filed.

  11. FOR OFFICE USE ONLY
  12. Previous Owner

    ________________________

  13. Account #

    ______________________

  14. New Account #

    ________________________

  15. Meter Reading

    ______________________

  16. Date Cans Ordered

    ______________________

  17. Date Setup

    ________________________

  18. Leave This Blank:

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