Residential Online Application for Utility Service

Residential Application for Utility Service

Applicant Information

Click to fill out information. ***There is a $50.00 administrative fee and a $200.00
State Issued ID Card Upload: *
Maximum upload size: 134.22MB
Service Address *
Service Address
City
State/Province
Zip/Postal
Country
Mailing Address (If different than above)
Mailing Address (If different than above)
City
State/Province
Zip/Postal
Country

References & Emergency Contact

Click to fill out information. Please list two relatives not living with you, and one person to be notified in case of emergency.

Consumer Responsibility Agreement

I have read and agree to the Consumer Responsibility.

Download the Residential Application for Utility Services. Fill it out and bring it in with a State Issued ID Card to the Utilities Office at the Santa Clara Town Hall, located at 2603 Santa Clara Drive.

***There is a $50.00 administrative fee and a $200.00 deposit required.

Santa Clara City provides power and water. The City also bills sewer and garbage services. Anyone needing utility services must fill out an application for service. A deposit of $200.00 and an administration fee of $50.00 is assessed with each application. This deposit will be refunded when the service is terminated and the bill is paid in full or it will be applied to the final bill.