Start Water Service

Start Water/Sewer/Sanitation Service

Do You Rent or Own:

Please provide the following information:

Note: This form is for requesting changes for the City of Casper's water, sewer, and sanitation services. Utility service must be requested a minimum of 3 business days before the effective date. If there are any charges due for these services, you will be billed.

First Name:

Last Name:

Name on Account:

Employer:

Property Address:

Mailing Address:

City:

State:

Zip:

Work phone:

Home Phone:

Email Address:

Enter today's date (mm/dd/yy):

Beginning service date (mm/dd/yy)
(Allow a minimum of 3 business days from today) :

Enter your Social Security Number below (No Dashes):