Application for Municipal Services

ONLINE FORM - START SERVICE

 

Disclaimer:

Please note that requests to start services must be submitted before 4:00 PM a minimum of one business day in advance. Requests received after 4:00 PM will be treated as received the following business day. Any requests to start service which fall on weekends or holidays will be scheduled for the following business day.

 

START DATE:
SERVICE FOR *
TENANT STATUS *
For additional information, if needed.
PREVIOUS CITY CUSTOMER? *
(Example: restaurant, doctor's office, grocery store, park, etc.)
TERMS OF SERVICE

I hereby apply for Municipal  service to the above premises.  In consideration of the furnishing of service by the City of Newberg to the above premises.  

I AGREE TO:

  1. Be responsible for all charges for service from the date of this application until I give the City notice to discontinue service.
  2. Abide and comply with all rules and regulation now in force or hereinafter enacted by the Newberg City Council.
  3. Pay promptly all bills for service before the charges become delinquent and to notify the Finance Department that service is no longer required.
  4. Have this application constitute a binding agreement between the City and myself only upon proper execution by myself and acceptance by the City.

Delinquency The City of Newberg reserves the right to discontinue service when charges are not paid when due, and to refuse further service until the delinquency is paid in full.

Failure to Pay: Accepting utility services from the city creates a legally binding contractual relationship between the primary listed on the account and the City of Newberg (the “City”).  The City may, but is not obligated to, submit payment history records or other information to credit reporting agencies or bureaus when contracts are past due by more than three months. Failure to pay all charges for service may result in further collection efforts by the City or the City may place a lien on the property. Unpaid charges, which become a lien, may be enforced, and collected in the same manner as any other municipal lien.

NOTE
There is a $20.00 non-refundable account set up charge which will appear on your first statement.
Agree to terms *
Type your Full Name