City of Modesto - New Utility Service Request Form

Please fill out this form to request NEW UTILITY SERVICE from the City of Modesto.
Fields with an "*" are required entries.


Customer Contact Information:
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Customer Identification:
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*


Additional Party Information:

Please note
: Each party listed on the title or lease agreement over the age of 18 will be considered a responsible party
and must provide either a Social Security Number, Valid California Drivers License ID or Valid California Identification card
.
Additional Party Information if needed. Additional Party is other person who will also be responsible for the bill.



Service Information:

Have you or any additional party listed above had prior service with the City of Modesto?
*
*
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What Files to Attach:
  • Copy of your state issued ID
  • For Tenants - Please provide a copy of your Lease/Rental Agreement
  • For Owners - Please provide Proof of Ownership (i.e. Grant Deed or Final Escrow Settlement Statement)
*
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*
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