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OFFICE USE ONLY Identification Deposit/Act. Service Order CITY OF WRAY APPLICATION FOR UTILITY SERVICE 245 W 4TH - PO BOX 35 - WRAY CO 80758 - 970 332-4431 APPLICANT SERVICE ADDRESS MAILING ADDRESS CITY STATE ZIP DATE OF BIRTH HOME PHONE SOCIAL SECURITY NUMBER DRIVER S LICENSE NUMBER STATE EMPLOYER NAME/ /PHONE HAVE YOU HAD UTILITIES WITH THE CITY OF WRAY IN THE PAST NO YES IF SO PLEASE GIVE THE YEAR OF SERVICE. BANK NAME TYPE OF SERVICE REQUESTED RESIDENTIAL COMMERCIAL NEXT OF KIN NOT LIVING IN SAME HOUSEHOLD NAME ADDRESS PHONE NUMBER DATE TO BEGIN SERVICE I authorize the following person s to have full access to my account. I do hereby certify that I am the above named applicant and that I will be responsible for payment of utility services provided at the above address from the requested date of service until I have properly notified the City of Wray to discontinue said service and that any utility deposit will be returned to me after the final bill has been paid in full* Failure to....

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How to fill out the City Of Wray Utilities Form online

Completing the City Of Wray Utilities Form online is a straightforward process designed to facilitate your application for utility services. This guide provides step-by-step instructions to help you navigate each section of the form with ease.

Follow the steps to successfully complete the City Of Wray Utilities Form online.

  1. Click ‘Get Form’ button to retrieve the form and open it in your preferred editing platform.
  2. Begin by entering your name as the applicant in the designated field. Accuracy is essential to ensure proper identification.
  3. Fill in your service address where the utility services will be provided. Include street number, name, and any relevant apartment or unit numbers.
  4. Provide your mailing address if it differs from the service address. This may be where you receive billing statements.
  5. Enter your city, state, and ZIP code in the corresponding fields to ensure your information is correctly categorized.
  6. Input your email address to receive updates and communications regarding your utility services.
  7. Specify your date of birth in the format requested to verify your identity and eligibility.
  8. Provide your home phone number to allow for effective communication regarding your account.
  9. Enter your Social Security number as required for identification and verification purposes.
  10. Fill in your driver’s license number along with the state of issuance to further establish your identity.
  11. State your employer's name and phone number, as this information may be relevant for account management.
  12. Indicate whether you have previously had utilities with the City Of Wray by selecting 'Yes' or 'No.' If 'Yes,' provide the year of service.
  13. Enter the name of your bank and the type of service you are requesting, either residential or commercial.
  14. Provide the details of a next of kin not living in the same household by filling in their name, address, and phone number.
  15. Specify the date you wish to begin service, ensuring it aligns with your needs.
  16. Authorize any additional person(s) to have access to your account as necessary.
  17. Sign and date the form to certify your application. Ensure your signature matches the name provided as the applicant.
  18. After completing all fields, review your entries for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Start filling out the City Of Wray Utilities Form online today to set up your utility services promptly.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232