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Step One

Property Information
The City of South Salt Lake offers water, sewer, garbage, stormwater, and fireline services. You will be enrolled for all applicable services based on your service address. A member of the Utility Services team will call you after you submit your application to review your services.
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.
Service Address*
Physical address of the property in South Salt Lake where you are requesting utility service.
Service Start Date*
Service Start Date
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.
Landlord Name*
The name of the individual or business you are renting this property from.
Landlord Contact
Phone number for the landlord.
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Customer Information

Customer Information
First Name*
Last Name*
Email*
Mobile Telephone*
Alternate Telephone
What is your preferred method of communication?*
1. text
2. email
3. call
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.
Mailing Address (if different than property)
City
State
Zip Code
Drivers License Number or State Issued ID
State
Employer
Phone Number
Occupation
How Long?
Name of relative not living with you
Relationship
Address
Phone Number
Do you currently or have you ever owned any other residences in South Salt Lake?*
1. Yes
2. No
If a spouse, partner, or roommate needs to be added to the account, complete the following fields.
First Name
Last Name
Relationship
Phone Number
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Service Application & Agreement

Service Application & Agreement
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:
1. Customer agrees to pay for such service in accordance with the rules and regulations and at the applicable rates for such service now in effect, or as the same shall lawfully be amended or changed.
2. Customer agrees to pay all utility bills within twenty (20) days from the bill date. It is understood that if the utility bill becomes delinquent, the utility service will be terminated the following month. Utility service shall not be restored until enter account, reconnection fees, and any applicable deposits are paid in full.
3. If Customer qualifies for City-sponsored garbage service, and if garbage container is lost, stolen, or damaged, customer agrees to reimburse the City the sum of $65.00 to replace the container, all without regard to fault or liability for the loss, theft, or damage. In other words, customer agrees to be strictly liable for the replacement cost of the container in the event of loss, theft, or harm. “Harm” means any damage not arising from normal wear and tear. Any hard from refuse collector shall be the responsibility of City and/or its refuse collector to repair or replace the refuse container. Customer agrees to place garbage container with the handle facing away from the street. The container will be placed within two (2) feet of the curb. Alley pickups shall be placed in the alley at least one (1) foot from obstructions. During collection hours, Customer agrees not to park vehicles on the street near container.
4. Customer agrees to notify City, in writing, one week in advance of termination of services.
5. Customer agrees to pay a security deposit (refer to the city's Consolidated Fee Schedule for current deposit rate) in advance of service being rendered. All security deposits shall be applied to the final billing and any credit balance still pending shall be mailed to the Customer.
6. Customer agrees to permit City, its agents or employees, to enter the premises at all reasonable times for the purpose necessary and incident to rendering of such service where the meter/sewer is located. I/we agree that no fence will be installed on the street side of the meter.
7. Customer warrants that he/she/they has the authority to sign this agreement and to grant permission to enter premises to the City.
8. Customer agrees that he/she/they will make certain that the meters and equipment are readily accessible to the City. Customer also agrees that there are no barriers or animals which would prevent reasonable access thereto.
9. Customer agrees to pay any damage to the meter equipment excepting normal wear. City Ordinances prohibit any persons other than City employees from operating or tampering with the water meter.
10. Customer agrees to pay reasonable attorneys fees and costs in the event of collection proceedings.
11. Customer agrees to pay .83% per month (10% APR) interest on any amounts not paid within thirty (30) days after billing.
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.
Electronic Signature Agreement*
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.
1. I agree.
Electronic Signature Agreement*
Customer states that he/she/they has read all of the above and agrees to the same.
Signature Date*
Signature Date

Leave This Blank:

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

This field is not part of the form submission.
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