Application & Contract
for Water and Wastewater Services

Please complete this application to apply for new service. This service is available for residential and commercial customers requesting water and wastewater services within established areas of First Utility District. If you would like to establish service at a location that does not currently have an existing meter present, such as new construction or development, you will need to visit Customer Service office to make your request.

If you have any questions regarding setting up service, please contact Customer Service during normal business hours (865) 966-9741 or by e-mail to OnlineApplications@fudknox.org. All fields with the asterisk (*) are required.

*Rental agreements and proof of ownership documents are required prior to connection of service, and can be submitted by fax 865.675.4029 or email OnlineApplications@fudknox.org

Fee Information: All customers requesting service connection are required to pay a $35.00 non-refundable service charge. Rental property tenants are required to pay a $100.00 refundable deposit in addition to the service charge. Pending credit verification, fees are required at setup of service.

Today's Date:
*please use the calendar to select your date desired		  
Date Service is Desired:  *  
Type of Request:   *
First Name:   *
Last Name:   *
Social Security Number:--  *
Driver's License:  *
License State:  
Birth Date:    
Employer:  
State:  *

Mailing Address
Please enter the address where bills should be sent:
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Location
Please enter the street address where service is required:
Service Address:   *
Comments:  
E-mail:  *
Confirm E-mail:  *
Telephone:--   *
Work Phone:--   
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  
By placing “I Agree” in the field area, I understand that all water supplies at my residence must be turned off prior to services being activated. This only applies to service/meters that are currently inactive or winterized. If the meter continues to spin after water is turned on, I understand that First Utility District will disconnect service and require me to schedule a two hour window of availability for a technician to reconnect services while I am present. This requirement is for the protection of my residence and to prevent possible property damage.
*fill in box with "I Agree"		  *

Online Access
We offer a variety of online services that our customers may use through our website. As one of our services, we provide a customer service portal for viewing and paying bills. Please specify an Internet Password and Password Hint at this time.
Internet Password:  *
Confirm Internet Password:  
Password Hint:

Existing Service
Have you ever had service with us before?    

Account Number:

Service Charge:  

If this is a business, will there be food preparation at this location?(please type yes or no)  *
Do you have a pool?  *
Do you have an irrigation system?
* Customers with separate meters at their address (Ex. irrigation system, pool, etc.) will need to complete an additional application with applicable fees for each meter. If you are unsure if this applies to your address, please contact our Customer Service Department at OnlineApplications@fudknox.org or 865.966.9741.		  *
Do you Own or Rent at this Location?
*Rental agreements and proof of ownership documents are required prior to connection of service, and can be submitted by fax 865.675.4029 or email OnlineApplications@fudknox.org.		   *
Please select your preferred Billing Method:   *
 
By checking this box, I, owner or renter of premises, hereby apply to THE FIRST UTILITY DISTRICT (herein after referred to as the DISTRICT) to supply water and/or sewer service to the above premises, and agree to pay for such services when the statements for same are rendered therefore in accordance with the rates, charges and regulations in effect at the time the service is rendered.

I agree to abide by and be subject to all the Ordinances, Codes and Regulations of the District governing the installation and use of water and sewer services, and agrees that the District may require from me, or tenant of the premises, a cash deposit of such amount as the District may deem adequate Security for payment of services rendered these premises pursuant to this contract.

! Reminder!
Service requests will not be completed until rental agreements and proof of ownership documents are submitted to Customer Service. Fax to 865.675.4029 or e-mail to OnlineApplications@fudknox.org.