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Utility Service Agreement for Residential

  1. City of Bismarck Public Works Department
    Residential Utility Service Agreement

    The person filling out this form must be an Owner or Landlord


    If you are a Renter, do not complete this form.
    Please have the owner or landlord contact the Public Works Utility Billing Department to update the utility account with your information by calling 701-355-1700, option 1. Thank you.

  2. Is this a newly constructed home in need of a garbage container?*

  3. Agree to Terms*


    Residential Utility Service Agreement
    This agreement shall remain in effect and shall be binding until notice is given to the Public Works Customer Service Division by the customer of the termination of this agreement. Upon notice of termination by the customer, a final reading of the water meter will occur. Utility billing begins when the water meter is picked up for newly built properties. It is agreed that the undersigned will be bound by the rules, regulations, policies, procedures, and ordinances applicable to the City’s utility systems and solid waste management. The undersigned must pay for all services used and rendered through the final reading of the water meter. Should the undersigned have an outstanding balance on a previous Public Works Utility Billing account, it is agreed that the balance will be transferred to this property for payment.

    Container Agreement
    It is agreed that the Public Works Department shall remain the owner of such containers and the property owner hereby agrees to pay the Public Works Customer Service Division the selected current monthly service fee for garbage collection and disposal. It is also agreed that the property owner shall indemnify and hold harmless the City of Bismarck from any and all claims of personal injury, property damage, or any other action arising out of the property owner’s use of the container.

  4. Someone from the Public Works Utility Billing Department will contact you by telephone or E-mail.
    Contact will be made within 2 working days to verify this information.

  5. Leave This Blank:

  6. This field is not part of the form submission.