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Residential Application for City Services

2. Please complete the following residential application to start City utility services. A $150.00 security deposit is required to complete account setup. Payment options are included in this application.

   Please complete the following residential application to start City utility services. A $150.00 security deposit is required to complete account setup. Payment options are included in this application.

6. First*

7. Middle Initial

8. Last*

9. Phone*

11. Spouse First

12. Middle Initial

13. Last

14. Phone

16. Service Address*

18. Mailing Address (If different than service address)

20. City

21. State

22. Zip

24. Rent or Own?*

    1. Rent
    2. Own

25. Closing Date
    Closing Date

26. Rental Date
    Rental Date

28. Name of Landlord

30. Paperless Billing?

    1. Yes
    2. No

32. Email Address*

34. Text Notifications?

    1. Yes

    1. No

    Will only be used for late notices and special utility reminders

36. Preferred Phone Number for Text

38. Method of Paying $150.00 Security Deposit*

    1. I will call the Utility Services Office with my payment information within 2 business days - (605) 642-1325
    2. I will make my payment in person at City Hall, mail or drop a check in the drop box located in City Hall parking lot
    3. Please bill the $150.00 deposit on my first statement (option not available to renters)
    4. I have made prior arrangements with the Utility Services Office

40. Signature*

    By typing your name into the field available you are hereby authorizing Spearfish, South Dakota to accept this as your electronic signature.

41. Date*
    Date

43. Fair & Accurate Credit Transactions Act
    To abide by the Fair and Accurate Credit Transactions Act, the City of Spearfish will only allow the applicant(s) listed to make changes and make billing inquiries on this account.

    To abide by the Fair and Accurate Credit Transactions Act, the City of Spearfish will only allow the applicant(s) listed to make changes and make billing inquiries on this account.

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field