Section 1 of 1 in this document

Application for Utility Service

To apply for utility service with the City of Pocatello, please complete the application below or bring a printable version of the application (PDF) to our office. You will be asked to provide copies of the following documents:

Warranty Deed (proof of ownership) or Lease Agreement
Driver’s License

Pursuant to Pocatello Municipal Code, all customers will also be required to post a utility service deposit per location:

$150.00 for a single family residence or
$130.00 for a multi-unit or commercial building

Said deposit shall be applied to the account upon closure.

Utility Service

Date to Begin Service (weekends or holidays will be postponed until the following business day)

Is the mailing address for billing statements different than the service address?

Yes

Email Address (e-notification available if desired)

Relationship to Property

Owner

Tenant

Property Manager

Contractor

Garbage Only

Statement of Compliance

I hereby certify that I have the above-selected relationship to the property designated by the Service Address and that I do hereby accept and will comply with all the rules, ordinances, and regulations which may be prescribed by the City relating to water, garbage, and sewer service and distribution.

Is the deed or lease in the name of a business?

Yes

Applicant(s)

PLEASE NOTE: All parties listed on the Warranty Deed or Lease Agreement will be responsible for this account and must provide the required information.

Social Security Number

Preferred Phone Number (automated courtesy phone calls may be sent)

Alternate Phone Number

Employer Name

Employer Phone Number

Emergency Contact Phone Number

Is there a co-applicant on the account?

Yes

Co-Applicant Social Security Number

Co-Applicant Preferred Phone Number (automated courtesy phone calls may be sent)

Co-Applicant Alternate Phone Number

Co-Applicant Employer Name

Co-Applicant Employer Phone Number

Co-Applicant Emergency Contact Phone Number

Business

Business Name

Federal Tax ID Number

Business Phone Number

Is the business address different than the service address?

Yes

Authorized Representative Position or Title

Authorized Representative Preferred Phone Number (automated courtesy phone calls may be sent)

Authorized Representative Alternate Phone Number

Would you like to have a second authorized representative on the account?

Yes

Second Authorized Representative Position or Title

Second Authorized Representative Preferred Phone Number (automated courtesy phone calls may be sent)

Second Authorized Representative Alternate Phone Number

NOTE: Accounts to be established under the name of a “limited liability company” or LLC are required to provide additional information for review by the City’s Legal Department. The LLC information is available upon request.

Documents

Please upload a copy of the following documents:

Warranty Deed (proof of ownership) or Lease Agreement
Driver's License

Upload Attachments

Click Here to Upload

Acknowledgments

Additional Services

I acknowledge that the City requires one garbage cart per unit. Additional garbage, recycling, or yard waste carts must be requested through the Sanitation Department at 208-234-6192.

Account Changes

I understand it is my responsibility to advise the City of Pocatello Utility Billing Department of any changes to this account.

Collection or Past Due Account Notice

Request for Service

By signing below, I acknowledge that I am requesting service with the City of Pocatello for water, sewer, and garbage. I further acknowledge that all previous accounts held with the City have been paid in full and that I have no outstanding balance or collection accounts with the City of Pocatello.

Unpaid Account(s)

I understand that if the City becomes aware of any unpaid account including collection accounts, the City will contact me and payment will be due immediately or current services will be shut off until the balance is paid in full.

Transfer of Balance

I further understand that if the final balance at my previous service address remains unpaid after 30 days, the final balance will be transferred to my current service address.

Agreement to Terms

Applicant Consent

By signing below, I agree and consent to the terms and conditions in this application.

Applicant and Co-Applicant Consent

By signing below, I and the co-applicant both agree and consent to the terms and conditions stated in this application.

Applicant Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Optional Services

Bank Draft
Your payment amount will be deducted from a checking or savings account on the due date listed on your statement. To sign up, complete a Bank Draft Authorization form and attach a voided check.

Level Pay
Level Pay (Budget Bill) can be set up in November after 12 consecutive months of billing history.

Utility Bill Pay
Go to pocatello.gov and click on Utility Bill Pay. The utility bill pay system allows customers to view their City of Pocatello account for billing, payment and consumption history. Payments can be made online with Visa, Mastercard, Discover, or e-check. Recurring payments can be set up to be paid on the due date listed on your statement with Visa, Mastercard, Discover or ACH.

Credit Card Payments
Pay with a debit card, credit card, or e-check by calling our office at 208-234-6241 or the 24-hour automated system at 1-877-253-0155.

**A $2.75 transaction fee will be charged on all card and e-check transactions.