Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Application for Utility Service

  1. Customer Class*

  2. Other Information

  3. Statement Billing

  4. Have you previously had service in the City of Bridgeport?

  5. All adults listed on the lease agreement must be listed on the utility application.

    • Customer will be at property between 8 a.m. and 10 a.m. for services to be turned on.
    • Services turned off for non payment will be charged a $15 service fee per utility.
    • NSF checks or returned Bank Drafts will be charged a $30 fee and services will be disconnected upon notification from the bank. The $15 service fee per utility will be charged once services are disconnected.
    • Bank Draft is done on the 15th of the month, unless the 15th is a weekend or holiday then it will draft the next business day.
    • Trash days are Monday and Thursday (north of Halsell) and Tuesday and Friday (south of Halsell).
    • Brush and bulk pick up - bulk is the second full week of the month; brush is the last full week of the month.
    • Bills are sent on the 1st of the month and are always due on the 20th of the month (unless you signed up for bank draft).

  6. Do you want the city to withhold your name / address from public inquiry?

  7. The undersigned hereby makes application to the City of Bridgeport for any or all the utility services offered by the City of Bridgeport (electric, water, wastewater, garbage), to be supplied at the address described herein, and upon request, at any other local address served by the City of Bridgeport to which the applicant may move. The applicant agrees to pay for said services as bills are rendered in accordance with the rates, rules, and regulations as provided in the City Ordinances, and to abide by all the rules and regulations as now existing or as may be enacted and in effect at the time of delivery.

    The applicant further agrees to release and discharge the City of Bridgeport from any liability for damage suffered (1) by reason of water, wastewater, or electric current furnished to the premises or (2) by reason of interruption, discontinuance, or disconnection of service from any cause other than negligence by the City of Bridgeport, or (3) by reason of condition, maintenance, location, or existence of any facilities, fixtures, or systems on or adjoining the property supplied and by which such services are furnished or delivered. The information that I have provided on this application is truthful and accurate, and the name in which the account will be listed is my right and lawful name or the name of the company I represent, and I do further understand that the false information can be grounds for denial or termination of services by the City of Bridgeport. I understand and consent to a credit check by the City of Bridgeport knowing that approval can only be made following such credit check.

  8. Leave This Blank:

  9. This field is not part of the form submission.