Get Residential Application - Palm Beach County

Unlocking utility services in Palm Beach County begins with the completion of the Residential Application. This guide will provide clear, step-by-step instructions to assist you in filling out the application accurately and efficiently online.

Follow the steps to complete your application easily.

1. Click the ‘Get Form’ button to access the application and open it in your editing tool.
2. Select the type of residence from the options provided: house, apartment, mobile home, or condo.
3. Fill in the service address, including the street, city, and ZIP code. Ensure this information is accurate to avoid service delays.
4. Enter the applicant's name in the designated field. This name will be used for the account, and any security deposit will be refunded to this person.
5. Indicate the mailing address if it differs from the service address, including the street, city, state, and ZIP code.
6. Provide daytime and evening phone numbers, along with an emergency contact number. This information is crucial for account management.
7. Enter the applicant's email address for communication regarding the utility services.
8. Input either the social security number, driver's license number, or state ID number in the respective field.
9. Specify whether you are an owner or a tenant of the property.
10. If you are a tenant, fill in the property owner's information, including their name, address, phone number, and email.
11. Indicate the date you purchased the property (if applicable) in the format of month/day/year.
12. Complete the property control number and subdivision details as requested.
13. If applicable, enter the date the lease began and the term of the lease.
14. Review the statement that indicates responsibility for all charges. Ensure you understand the agreement.
15. Sign and date the application. Your signature verifies the accuracy of the provided information.
16. Once all fields are completed, you can choose to save your changes, download the application, print it, or share it as needed.

Begin your application process online today to ensure prompt utility service!