The application for commercial water service is required to establish a new service with the City of Albany. A scanned copy of a signed lease agreement or closing verification from a title agency or warranty deed is required to initiate services.

Complete the form below and submit the request online.

For questions, contact utility customer service by phone at 541-917-7547 or by email at utilitybilling@cityofalbany.net.

Date to start service at below address ^* Required

Service Address

Street ^* Required

City ^* Required

State ^* Required

Zip Code ^* Required

Country ^* Required

First NameRequired

Middle Name

Last Name ^* Required

For the Service Address, I am: ^*Required

Mailing Address

The mailing address is different than the service address.

Only complete this section if the mailing address is different than the service address.

Street

City

State

Zip code

Country

Business Phone Number

Customer Phone Number^* Required

Email Address

How would you prefer to be contacted? ^*Required

Phone

What is the best time to reach you? ^*Required

Morning

Afternoon

Please give a brief description of what occurred. ^*Required

Electronic Signature Agreement

By checking the "I agree" box below, you agree and acknowledge that

(1) Your application will not be signed in the sense of a traditional paper document.

(2) By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

(3) You may still be required to provide a traditional signature at a later date.

I agree Electronic Signature ^*Required

I agree

Signature ^*Required

Date ^*Required

Receive an email copy of this form

Email Address

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Application for Commercial Water

Service Address

Mailing Address

Electronic Signature Agreement