Create a Website Account - Manage notification subscriptions, save form progress and more.
Legal First Name and Middle Name if applicable
Legal Name with suffix if applicable (Ex -Sr, Jr)
Service Address
Alternate Number (work, spouse, etc.)
Legal First and Last Name
Alternate Email Address
If different from service address
Place of Employment
Employer's Phone Number
Date service is to begin
Upload Scanned Copy of Driver's License or ID
Own Residence or Rent/Lease
If Owner, Upload First and Last Pages of the Purchase Agreement
If Renting or Leasing, Upload Agreement
Does Residence have an Alarm System?
Please Request Alarm Registration Form.
To prevent fire or water damage, make sure all electric appliances and water faucets are turned off prior to the scheduled connect date.
A $20.00 one-time administration fee will appear on your first bill.
If you qualify to pay no deposit or a reduced deposit at Service Initiation and your service is suspended for non-payment, you will be required to pay additional deposit equal to two time the average bill
For Temporary Services, there is a deposit fee of $50
The City of Bartow contracts meter readers to visually read all utility meters every month. With that said, it is required that customers provide clear and safe access to all electric and water meters located at every location. If you have any questions regarding access, please contact Customer Service. 863-534-0188 or csr@cityofbartow.net
If for any reason your meter seal is cut, pulled through or broken, a meter tampering fee will be added to the account and a deposit equaling 2 times the average bill will be required.
By Checking this box, I acknowledge all information provided is true and correct including my provided signature.
Incorrect information may result in disruption of service or additional service charge.
This field is not part of the form submission.
* indicates a required field