New Utility Account Application

URL

This field is for validation purposes and should be left unchanged.

This application is for setting up a new utility account (garbage & water) in the City of Roswell.

If you have any questions, please contact the Financial Services Division at fsd@roswellgov.com or (770) 641-3759.

Please note: A representative will send a confirmation to the email address submitted below after your request has been processed. If you are leasing your property, please email us your leasing contract (first page and last page).

Name(Required)

First Last

Primary Phone(Required)

Secondary Phone

Email(Required)

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Date of Birth (Original)(Required)

Date of Birth(Required)

Driver's License Number(Required)

Service Address(Required)

Street Address City State ZIP Code

Is this also your mailing address?(Required)

Yes, this is my mailing address

No, I use a different address for mail

Mailing Address

Street Address City State ZIP Code

Do you have any prior or current address(es) in the City of Roswell? If yes, provide street address:

Do you own or lease the property at this service address?

Own

Lease

Purchase Date(Required)

Lease Start Date(Required)

Property Owner Name(Required)

Property Owner Phone

Property Owner Mailing Address(Required)

Street Address City State ZIP Code

Upload Lease Agreement Here(Required)

Max. file size: 50 MB.

Signature (Please type your full name in lieu of your signature):

Today's Date

Your utility bill will be emailed to your email address on a monthly basis. If you do not want to receive your bill electronically, please email the Financial Services Division at: fsd@roswellgov.com