Phone Sign-up Request for Utility Service

1) Name*

2) Service Address*

3) Email Address*

4) Phone Number*

Information required for your request for Utility Service:

Your state issued ID
Letter of Credit (Optional)
For Renters: Rental/lease Agreement (All pages)
For Owners: Final Escrow Settlement Statement

5) State Issued ID*

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Confirmation Required

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6) Rental/Lease Agreement or Final Settlement Statement*

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Confirmation Required

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7) Other Document (Ex: Letter of Credit)

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Confirmation Required

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6) Acknowledgment*

Required

I acknowledge I must contact the City of Modesto Customer Service Customer Services Division at 209-577-5395
to complete the sign-up process. I understand that until I speak with a Customer Service Representative to
complete the sign-up process my utility account will not be activated.

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