Request to Start Utilities Service Form

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Spouse's name

First Middle Last

Customer type(Required)

Service address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the service address the same as the mailing address?(Required)

Yes

Mailing address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Pinellas County Utilities / service address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous / existing account number

Please review the security deposit information at this link to understand when a deposit may be required before starting service.

The undersigned agrees to abide by all Pinellas County rules and ordinances governing the operation and use of water, sanitary sewerage, and garbage collection services. The undersigned agrees that all information on this data sheet is correct.

Acknowledgement(Required)

By clicking “Submit”, you confirm that the information provided is true and accurate to the best of your knowledge and understand that it may be used to support related processes or decisions.

Decline

Date(Required)

Date of turn on(Required)

Closing/lease date(Required)

Still have questions? Visit our Frequently Asked Questions (FAQs) for more information. You can also contact Utilities Customer Service at (727) 464-4000, Monday to Friday from 8 a.m. to 5 p.m.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead contact this office by phone or in writing.

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Request to Start Utilities Service Form