Request for Transfer of Utility Service

Transferred services MUST remain in the name of the account holder on the old service address.
Please provide supporting documents.

Account Holder Name: Account Holder Name: * First Last
Social Security: *
Phone Phone - ### - ### ####
Cell Service Provider: *

If you are opting out of alerts and reminders please type "N/A"
Email: *
New Service Address: New Service Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Desired Connection Date: Desired Connection Date: * / MM / DD YYYY
Desired Disconnection Date: Desired Disconnection Date: * / MM / DD YYYY
Current (Old) Service Address: Current (Old) Service Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Billing Address: Billing Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Paperless Billing: When your account is enrolled in paperless billing, you will receive a $2 monthly credit.

Paperless Billing: When your account is enrolled in paperless billing, you will receive a $2 monthly credit. I want to enroll my account in paperless billing and receive a $2 monthly credit.
Fees: Transfer Fee $25 payable at application or on first bill
Deposits: (will transfer from old location): Electricity $150 Water $35 Both Services $185
Paperless Billing:

Paperless Billing: I want to enroll my account in paperless billing and receive a monthly $2 credit for being enrolled in paperless billing.

When you enroll in paperless billing you will receive your monthly bill in an email. The account will receive a monthly $2 credit as long as the account is enrolled in paperless billing.
Fees:

Transfer Fee $25 payable at application or on first bill
Deposits (will transfer from old location): Electricity $150 Water $35 Both Services $185
Documentation to accompany application:

• Photo ID (Driver license / Passport / Student ID)
• Proof of Residence (Lease, Sales Contract, Warranty Deed)

Please note if you are on a mobile device and experiencing issues uploading your images, the problem may be the high resolution that your camera is taking these pictures. Please take the picture first and store it on your camera roll. Once stored in your camera roll, most pictures will have been auto-optimized to a size that our software can support. You can then select the picture to upload from your camera roll. Taking a picture in real time generally will result in the file size being too large to upload to our servers. However, selecting the picture from your camera roll will resolve the issue.
Upload a File ( Photo ID) *

Attach Files

If you take a photo with a mobile camera, save it first to your camera roll before attempting to upload!
Upload a File (Proof of Residence) *

Attach Files

If you take a photo with a mobile camera, save it first to your camera roll before attempting to upload!
By signing below, I agree to abide by the rules and regulations of Starkville Utilities, including but not limited to, securing all electric and water appliances in the off position on the date service is begun and paying all charges under the terms and conditions listed on the bill.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date: Date: * / MM / DD YYYY
Important! Your account will be automatically enrolled to receive alerts and reminders regarding your due date, past due amounts, account profile changes, payment confirmation, and returned checks. You will be notified five days prior to the due date and for past-due amounts. Standard message and data rates may apply.

Request for Transfer of Utility Service

Request for Transfer of Utility Service

Fees: Transfer Fee $25 payable at application or on first bill Deposits: (will transfer from old location): Electricity $150 Water $35 Both Services $185

Fees:

Documentation to accompany application:

By signing below, I agree to abide by the rules and regulations of Starkville Utilities, including but not limited to, securing all electric and water appliances in the off position on the date service is begun and paying all charges under the terms and conditions listed on the bill.

Fees: Transfer Fee $25 payable at application or on first bill
Deposits: (will transfer from old location): Electricity $150 Water $35 Both Services $185