Online Application for Utility Service

Service Type*
Select your service type. (Check all that apply)
- Homeowner
- Rental
- Business
- Temporary
- New Cut-In
- Cut-Out
- Transfer
- Water Tap
- Sewer Tap
- Gas Tap
Name*
First Last
Social Security #*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code
Place of Employment*
Cell Phone*
Text Message?*
Do you want to receive text messages regarding your account from CMU?
- Yes
- No
Email*
Other Phone
Social Media
Do you have a social media account on any of these platforms?
- Facebook
- Twitter
- Google+
Move In Date
MM slash DD slash YYYY
Driver's License*
Accepted file types: jpg, png, jpeg, gif, Max. file size: 5 MB.
Upload an image of your driver's license.
Proof of Residency*
Accepted file types: jpg, png, jpeg, gif, Max. file size: 5 MB.
Upload an image of your proof of residency. (Lease agreement, deed, etc.)
Signature*
I, applicant, hereby request Canton Municipal Utilities to provide applicable utility services which may include but not limited to electric, water, wastewater and gas services at the above service location. I, applicant, agree to pay all charges for services rendered as a result of this request. I, applicant, understand and agree that failure to pay any amount due to CMU can result in services not being connected/reconnected until such payment has been received. I have read and accept the terms of the applicant’s responsibilities.