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UTILITIES - Authorization For Property Owners

Step 1 of 1

Notice: Copy of Driver's License required.

PLEASE EMAIL A COPY OF YOUR DRIVER'S LICENSE TO UTILITIES@SULPHUR.ORG

If more information is needed, the City will contact you at the email address or phone number you provided.

* Denotes a required field

Property Owner*

Email*

Confirm Email*

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Property Occupant*

I authorize the City of Sulphur to establish utiltiies with the above Property Occupant at the above Property Address.*

Yes No

Date*

MonthDay Year,

Please Do Not Complete The Following Field

Additional Information

Dialog Title