Polk county utilities water application 2026

1. Click ‘Get Form’ to open the Polk County Utilities Water Application in the editor.
2. Begin by entering your Customer Name in the designated field. Ensure that you print legibly for clarity.
3. If applicable, provide a Secondary Account Name. This person will have authorization to make changes on your behalf.
4. Fill in your Service Address, including City and Zip Code. Double-check for accuracy to avoid additional charges.
5. If your Mailing Address differs from the Service Address, complete that section as well.
6. Enter your Driver’s License number and contact information, including Local and Other Phone numbers.
7. Provide your Date of Birth and Spouse’s Name if applicable, along with the Number of Occupants in your household.
8. Indicate the Purchase or Lease Date and specify when you would like the service to begin.
9. Answer whether you or your spouse are current or previous customers of Polk County Utilities and provide any necessary account details.
10. Finally, sign and date the application at the bottom before submitting it via email as instructed.

Start filling out your Polk County Utilities Water Application online for free today!