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2. Municipal Utility Services Agreement
4. Deposit Agreement*

   1. I agree.

   Every customer applying for water, sewer, and/or sanitation services shall be required to make a security deposit of $75.00 for residential; $125.00 and up for business/commercial accounts. Security deposits are kept until the account is closed. The deposit will be applied to the final bill.

6. Service Start Date*
   Service Start Date

   Service activation windows: Mon-Thurs 8 am - 12 pm or 12 pm - 4pm

7. Commercial or Residential*
   -- Select One --CommercialResidential

   Choose one.

9. Applicant Name*
11. Business Name

    (if applicable)

13. Phone Number*
14. Email*
16. Service Address*
18. Mailing Address

    (if different)

20. Tax ID/EIN or Social Security #*
21. Driver License or ID #*
23. Upload TWO Forms of ID

    Acceptable forms of ID include: Driver license, State ID, Tribal ID, Birth certificate, Social Security Card, Voter registration card, Insurance card

25. Upload First Form of ID*
26. Second Form of ID*
28. Electronic Signature Agreement*

    Agreement & Acknowledgment

    By signing this form, I acknowledge that I have applied for utility services provided by the City of El Reno and accept responsibility for all amounts billed to me. Bills are due on the 15th of each month. If I do not receive my bill by mail or email, it is my responsibility to contact the City to determine the amount due.

    If service is disconnected or suspended, a $50 reconnection fee will be added to my account. A $25 return trip fee will apply if no one is on-site during activation, and service will be rescheduled for the next business day. I certify that I have read and understand this agreement and that all applicable laws and ordinances governing service will be complied with.

    By checking the “I agree” box below, I acknowledge and agree that:

    1. my application will not be signed in the traditional paper sense;

    2. by signing electronically, I authorize my electronic signature to be valid and binding with the same force and effect as a handwritten signature; and

    3. I may still be required to provide a traditional signature at a later date.

    1. I agree.
30. Electronic Signature
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field