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Application for Utility Services - Residential

Please correct the field(s) marked in red below:

  • The City of Vacaville requires one business days' notice to connect service. In order to connect service the next business day, applications must be received by 12:00 pm Pacific time Monday through Friday (excluding holidays). 
  • Service can be established on normal business days: Monday – Friday, 8 a.m. to 5 p.m. (excluding weekends/holidays).  
  • Information on water rates and fees is available on the City of Vacaville Rates and Account Information page.
  • Customers will receive notification from the City of Vacaville indicating whether the application has been accepted or whether the Customer Service Division must be contacted to complete the application process.  

* = indicates required field  


1

Date of Service Connection
(Note: Minimum one business day's notice. In order to connect the next business day applications must be received by 12 noon Pacific Time.)

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2
Service Location
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Service Location
3
Requesting Customer
 *
Requesting Customer
Note: In order to prevent and mitigate ID theft and in compliance with the Fact Act of 2003, it is essential that every written communication, including emails, received by the Utility Billing Division contains the last four digits of the account holder’s social security number or the tax identification number. In the event that a staff member within the Utility Billing Division needs to call to obtain additional information, such as the full social security number to validate identity, you must also provide a daytime telephone number.
4

Mailing Address

 *
5

Other Responsible Customer
Please list any other person you would like to have joint financial responsibility for the bill. Only responsible parties will be able to obtain account information and/or make changes to the account. (If none, indicate “N/A” in all fields below.)

 *
Other Responsible Customer Please list any other person you would like to have joint financial responsibility for the bill. Only responsible parties will be able to obtain account information and/or make changes to the account. (If none, indicate “N/A” in all fields below.)
6
Relationship to Property
Are you the tenant or owner?
Relationship to Property Are you the tenant or owner?
7

Owner's Information

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Owner's Information
8

Service History
Have you had previous water and sewer service with the City of Vacaville?

Service History Have you had previous water and sewer service with the City of Vacaville?
9

Indicate any previous Vacaville water and sewer service(s) in the last two years.
 

 *