City of Hollywood Utility Service Application Form
This form is essential for applying for utility services in Hollywood, Florida. It gathers necessary customer and service location information. Completing this application ensures that utility services such as water and sewer are appropriately registered.
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How do I fill this out?
To fill out this form, begin by providing your service address and customer name. Next, complete the contact information fields accurately. Make sure to indicate whether you are the owner or renter of the service location and provide required documents.

How to fill out the City of Hollywood Utility Service Application Form?
1
Begin by entering the service address and your full name.
2
Fill in your contact information, including phone numbers and email.
3
Indicate property ownership status as owner or renter.
4
Provide necessary documentation for proof of ownership or rental agreement.
5
Sign and date the form before submitting.
Who needs the City of Hollywood Utility Service Application Form?
1
New residents requiring utility services.
2
Business owners setting up utility accounts for their premises.
3
Landlords managing multiple rental properties.
4
Property managers ensuring services are active for tenants.
5
Individuals moving into a new home needing water and sewer services.
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Upload the PDF to PrintFriendly.
2
Use the editing tools to fill in the required information.
3
Make any necessary adjustments or corrections.
4
Review your completed form before finalizing edits.
5
Download the edited PDF for submission.

What are the instructions for submitting this form?
To submit this form, please print the completed application and mail it to the address listed on the form. Alternatively, you can email the scanned copy to the utility department at utilities@hollywoodfl.gov. For more immediate concerns, contact the utility office by phone at (954) 921-3071 during business hours.
What are the important dates for this form in 2024 and 2025?
Important dates for utility service applications in 2024 and 2025 are as follows: Application deadlines typically align with the start of each fiscal year, ensuring services can begin as necessary. Be sure to stay updated on city announcements regarding service changes and application availability.

What is the purpose of this form?
The purpose of this form is to establish utility services for customers in the City of Hollywood. It ensures that all necessary information about the service address and customer is collected accurately. The information gathered helps the city maintain efficient service delivery and billing.

Tell me about this form and its components and fields line-by-line.

- 1. Service Address: The location where the utility services will be provided.
- 2. Customer Name: The name of the person or business responsible for the utility account.
- 3. Mailing Address: Address where utility bills and correspondence will be sent.
- 4. Contact Information: Includes home, work, and cellular phone numbers for communication.
- 5. Ownership Status: Indicates whether the customer is the property owner or renter.
What happens if I fail to submit this form?
Failing to submit this form results in delayed access to utility services. Consequently, customers may face inconveniences regarding water and sewer access. Timely submission is crucial for uninterrupted services.
- Disconnection of Services: Failure to submit may lead to delays in setting up services.
- Late Fees: Late applications could incur additional fees on your bill.
- Service Interruptions: Without proper documentation, services might be interrupted.
How do I know when to use this form?

- 1. New Resident Setup: When new occupants move into a residence and require utilities.
- 2. Business Utility Setup: When a business requires utility services for operations.
- 3. Property Management: For landlords managing rental properties who need to establish services.
Frequently Asked Questions
What is this file used for?
This file is used for applying for utility services in the City of Hollywood.
Who needs to fill out this PDF?
Anyone needing to establish utility services, including residents and business owners, should fill out this PDF.
Can I edit this file?
Yes, you can easily edit this PDF using the PrintFriendly editor.
What if I make a mistake while filling this out?
You can make corrections using the editing tools available on PrintFriendly.
How do I submit this form?
Submit the completed form per the instructions provided within the application.
Is there a fee for this application?
There may be a fee associated with setting up your utility services.
How long does it take to process this application?
Processing times can vary, so be sure to check with the City for updates.
Can I save my progress on this PDF?
You can edit and download the PDF file directly but cannot save your progress on the site.
What should I do if I don't receive my service?
Contact the City to ensure your application has been processed.
How do I get help filling out this form?
Resources are available to assist you, contact the City for further guidance.
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