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Ver. 2021 City of Gilbert Utility Service Application – Move In Move in Date: Current Date: Street Address: Mailing Address: Primary Contact Name: Secondary Contact Name: Phone: Phone: Email: Email: Social Security Number: Social Security Number: COMPLETE IF RENTING: Landlord Name: Landlord Address: Landlord Phone: Service begins once deposit is paid in full. Utility service through the City of Gilbert includes: water (WA), water debt (WD), sewer (SW), sewer debt (SD), sanitary sewer (SS), and resource recovery/landfill (RR) charges. Utility bills are due on the 15th of every month or the next business day, when the 15th falls upon a weekend or holiday. Payment Options - The City of Gilbert offers many convenient ways to pay your utility bill: • Pay by check or with cash at City Hall during normal business hours • Drop off check or cash at City Hall using the 24-hour drop box • Sign up for automatic payments from your bank every month by completing the ACH form at City Hall • Online payments (see details at CityofGilbertIowa.org) Please note that these forms of payment are the fastest ways to ensure your bill payment is received on time! If mailing your payment, please give ample time for your payment to travel through the mail. If you choose to pay your utility bill through an online bank pay system or an electronic check please address your payments to: City of Gilbert P.O. Box 29 Gilbert, IA 50105 Personal information is kept confidential and used for the sole purpose of collecting payments on services provided. Office Use Only Account Number: Deposit ($100.00): Meter Reading: Date Read: Processed: