Request New Service

NOTE:	An activation fee to start new service will appear on your first month's bill.
	This service is only for residential customers.

You may start service by completing and submitting this form. In order to avoid delays please make sure that you accurately complete the required information below. If you have any problems submitting your form or if you have any questions regarding service, please call 402.554.6666.

(*) Indicates a required field.

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Interested in signing up for budget billing? Learn more here.

Customer Information:

We need a minimum of 24 hours notice to start service Monday-Friday and we are closed on weekends and holidays.

First name*

Last name*

Middle name

Email*

Phone-primary (+area code)*

Phone-secondary (+area code)

By providing your phone numbers, you agree that the Metropolitan Utilities District may contact you at these numbers, including by automatic dialer, artificial or pre-recorded voice messages, and/or text messages concerning matters closely related to your utility services. You confirm that you are the current owner/subscriber of the phone numbers provided and that you are permitted to receive calls at those numbers. You agree that you will notify the Metropolitan Utilities District in the event that you stop using any of the phone numbers provided. If a mobile phone number is provided, wireless and text message fees may apply from your carrier.

Social Security Number*

Date of Birth (MM/DD/YYYY)*

Emergency Contact Name*

Emergency Contact Phone (+area code)*

Address Where Service Will Be Started:

Address*

Address 2

City*

State*

Zip*

I am the property:*

Billing Address:

Same as Service Address.

Address*

Address 2

City*

State*

Zip*

Start Of Service Date:

Start date (MM/DD/YYYY)*

Previous service with M.U.D.?*

Previous address (street, city, state, zip)

What is the last year you lived there?

Appointment Details:

Most water meters and some gas meters are located inside homes and buildings. It may be necessary for us to gain access to the meter to complete your service order request.

Appointment date (MM/DD/YYYY)*

Time*

Contact name*

Contact Phone Number (+area code)*

Deposit Waiver:

There is an initial deposit required to start a new service.

Do you want to waive your deposit?*

Please select one of the following option*
RECURRING E-CHECK

New customers may enroll in recurring eCheck to waive the deposit after receiving your account number via confirmation email from M.U.D. Once you receive your account number by email, set up an "Auto Pay" online account within 30 days to avoid a deposit billed. You must maintain this service for 12 consecutive months.

LETTEROFCREDIT

Provide a letter of credit from another utility company to waive your deposit. The letter must show 12 consecutive months of excellent credit and must be for service provided within the last year.

COSIGNER

A friend or family member is eligible to cosign on your account in order to waive your deposit. The cosigner must have an active account with M.U.D. in their name. They must have two years of excellent credit. The cosigner is responsible for any delinquent balances.

Cosigner Name*

Cosigner Address*

Information Provided By:

Same as Service Address.

Name*

Phone (+area code)*

Relationship (if not the customer)

I have read and agree to the Terms and Conditions*

Residential	e-mail	402.554.6666
Commercial	e-mail	402.554.6666
Industrial	e-mail	402.504.7006

Emergency Hotline:

402.554.7777

What is an Emergency?

Request New Service

Customer Information:

Co-Customer One:

Co-Customer Two: