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The city offers a Utility Assistance Program for low-income residents unable to pay their water and sewer bills. The program is funded through public donations and is administered through the Utah Community Action's HEAT Program. To learn more and to support the program through a donation, click here.
Physical address of the property in South Salt Lake where you are requesting utility service.
Date to start utility service; should be on or best estimate of the sales date recorded with the Salt Lake County Recorder's Office, or date resident takes possession of the property.
The name of the individual or business you are renting this property from.
Phone number for the landlord.
On occasion, it may be necessary for Utility Services to contact you regarding utility disruptions, outages, or billing inquries. Please supply a good email and mobile number and select your preferred method of communication.
The undersigned, hereinafter referred to as “CUSTOMER”, applies to the CITY OF SOUTH SALT LAKE, hereinafter referred to as “CITY”, for utility service. Utility service shall mean the providing of water, sewer, garbage, or a combination thereof. In consideration of the acceptance of this application by the City and the rendering of such service, the Customer agrees and grants as follows:
I certify that the information given by me in this application is true and correct and that falsification of any information will be grounds for discontinuance of utility services.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Customer states that he/she/they has read all of the above and agrees to the same.
This field is not part of the form submission.
* indicates a required field