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Utility Service Application
Applicant Information
Check here if you are currently a customer of Nolensville College Grove Utility District at another address:
Current Account:
*
Create Cut-off Service Order for Current Account?
Requested Turn Off Date:
*
Requested Turn Off Time:
*
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Social Security Number
Enter last 4 digits of SSN:
*
Please indicate type of account:
Residential:
Business:
Business Name:
*
First Name:
*
Middle Name:
Last Name:
*
Date of Birth:
*
Home Phone:
*
Mobile Phone:
*
Federal ID:
*
Work Phone:
*
Email:
*
Driver's License:
*
SSN:
*
Gender:
Ethnicity:
Race:
Name:
Home Phone:
Mobile Phone:
Work Phone:
Email:
*
Date of Birth:
*
Driver's License:
SSN:
Relationship:
Remove Co-Applicant
Please enter the address for which you are requesting service.
Address:
*
City:
*
State:
*
Zip Code:
*
Check if you own this residence:
Name of mortgage company: Name of landlord:
Check if your billing address is same as the service address:
If not, please enter your billing address
Address:
*
State:
*
City:
*
Zip Code:
*
Address:
City:
State:
Zip Code:
Requested Turn on Date for Utilities:
*
Requested Turn on Time for Utilities:
*
Name:
*
Phone No:
*
Address:
City:
State:
Zip Code:
Additional Comments:
Please attach required documents here:
Drag file here
Current Image:
Check here if you are currently a customer of Nolensville College Grove Utility District at another address:
Current Account:
Create Cut-off Service Order for Current Account
Requested Turn Off Date:
Requested Turn Off Time:
Type of account:
First Name:
Middle Name:
Last Name:
Business Name:
Date of Birth:
Home Phone:
Mobile Phone:
Work Phone:
Email:
Driver's License:
SSN:
Federal ID:
Co-Applicant Information:
Name:
Home Phone:
Mobile Phone:
Work Phone:
Email:
Date of Birth:
Driver's License:
SSN:
Relationship:
Service Address:
Address:
State:
City:
Zip Code:
Check if you own this residence:
Name of mortgage company: Name of landlord:
Check if your billing address is same as the service address:
If not, please enter your billing address
Address:
State:
City:
Zip Code:
Previous Address:
Address:
State:
City:
Zip Code:
Requested Turn on Date for Utilities:
Requested Turn on Time for Utilities:
Name:
Address:
State:
Phone No:
City:
Zip Code:
Additional Comments:
By clicking Submit, you agree to a bide by the established Rules and Regulations currently in force, and pay for service prior to the due date or be subject to disconnections for non-payment. Submission also confirms that the applicant is over 18 years of age, and that all information provided by them is accurate. A $75.00 Connection Fee will be added to your first bill. If your sewer service is provided by Nashville Metro we will send your service information to set up the account. You will receive a separate bill for water and sewer. NCGUD does not provide sewer service. *Nolensville/College Grove Utility District does not adjust water bills for customers NOT residing at the current residence for at least 12 months. *Nolensville/College Grove Utility District will not adjust any bills for Irrigation or Pools. *Nolensville/ College Grove Utility District is under no obligation to inform you of a water leak.
Your application has been submitted. You will receive a notification whether it has been denied or approved once it has been processed and completed.
Your application number is
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