Residential Utilities

Customer Service Residential Utilities Form

Instructions: Complete all pertinent fields, then read the information at the bottom of the form.


To turn-on Utility Services, please complete Section A and Deposit Requirements. Fax or email picture ID and lease (fax: 252-972-1521 or email: [email protected]).


Do you:

Check here if you would like to enroll in the Load Management Program.

To disconnect Utility Service, please complete Section B:


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Deposit Requirements

A utility deposit may be required for new or transferring customers. Deposits are credit-based and range from $0 to $325. The primary credit source will be your City of Rocky Mount utility payment history. Utility deposit options are:

  1. Letter of Credit from previous utility account from a utility company confirming a good pay history for the past 12 months.

  2. Co-signer who must have an active account with the City of Rocky Mount for at least 2 years with a Good Pay History.

  3. **Credit check to obtain credit rating to determine deposit requirement

** I give the City of Rocky Mount my permission to obtain my credit rating from a credit service to determine my deposit requirement for the above address. By providing your social security number and phone number(s), this information shall be utilized for customer verification, debt collection attempts which are subject to credit reporting, or third party collections.


SECTION C: Forwarding Address

Application must be received in the City of Rocky Mount Utility Business Office 3 business days prior to connection/disconnection request. A Customer Service Representative will contact you to confirm receipt of your application and to complete the application process.

Please contact our office if you have not received confirmation within 48 hours prior to your request, or if you have any questions. Our office hours are 8:30 a.m. to 5:00 p.m. Monday through Friday. Our telephone representatives are available at (252) 972-1250 from 8:30 a.m. to 7:00 p.m. Monday through Thursday and 8:30 a.m. to 5:00 p.m. on Friday.

For more information, or assistance with this form call 252-972-1250.

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