Application for Utility Services | The City of Imperial

Submitted by ipld9stby on February 25, 2023

Use this form to request services be turned ON. A service request received after 12:00 p.m. will not be processed until the next working day.
Minimum deposit of $200 is required prior to service connection.

For your convenience, our office accepts credit card payments over the phone at no additional charge.

Account Type

Location of Service

Date of ON

Owner account requires proof of Escrow, and Tenant account requires proof of Lease or Rental Agreement prior to start of services – ** Please ensure to attach copy.

Name

SSN

ID Type

Phone number

Mobile Phone number

Mailing Address

Email Address

Property information is required.

Owner name

Owner phone number

Owner Mailing Address

Attach Document/PDF

One file only.
512 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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The City of Imperial strives to be an economically vibrant and culturally rich community with a strong sense of identity, pride and prosperity. It's the people, it's the place. Welcome home.