• APPLICATION FOR SERVICE

    APPLICATION FOR SERVICE

  • Applicant Information

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  • Authorized Agent

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  • Fort Valley Cares Program (Round-Up Plus 1)

    Customersare automatically enrolled in the Cares Program unless opting out below.

  • EASEMENT

    Each applicant, upon being requested to do so by the Fort Valley Utility Commission, shall provide and deliver to the Commission grants of easement of right-of-way over, on or under such land owned or leased by the Applicant and in accordance with such reasonable terms and conditions as the Commission shall require for the furnishing of utility services to him or other Applicants or for the construction, operation, maintenance, or relocation of the Commission’s utility facilities.

    RIGHT OF ACCESS

    Furthermore, all service lines supplying the Applicant with utility service and all meters, switches and other equipment constructed or installed by the Commission or its agents over, on or under said premises, shall at all times be the sole property of the Commission which shall have the right of access to said premises at all reasonable times for the purpose of reading meters, right-of-way maintenance, testing, inspecting, repairing, removing, maintaining or exchanging any or all equipment and facilities.

  • Signature

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  • The following information is requested to monitor compliance with Federal law prohibiting discrimination. You are not required to furnish this information but are encouraged to do so. However, if you choose not to furnish it, we are required to note the race/ethnicity of individual applicants based on visual observation or surname. This information will not be used against you in any way.

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