Please enter the address where the new services will be activated. Most addresses do not require a street direction


  



 
 
 
 


Services active on this location:

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New Service Address
Service Requested:
Sanitation Can(s):
Start Date:
Customer Type:
Bill Delivery:
Paperless Email:
First Name:
Middle Name:
Last Name:
Security Number:
Driver License/ID/Passport #:
State Issued Driver License/ID:
Email Address:
Date of Birth:
Primary Number:
Alternate Number:
Employer:
Work Phone Number:
Spouse Name
Spouse Phone #
Spouse SSN
Spouse DOB
Other Adult
Other Adult Phone #
Other Adult DOB
Last Permanent Residence Address:
Mailing Delivery Address:
NOTE

  • I understand that falsification of any of the above information may result in immediate discontinuance of utility service without notice
  • I understand that there will be a charge of $25.00 to initiate utility service in my name
  • I understand that failure to pay my utility accounts in accordance with Marietta Power policies will result in discontinuance of service
  • I understand that failure to pay my final bill after any deposit refunds will result in the account being submitted to collections. I will, as a result, incur all collection costs
  • I hereby acknowledge that I authorized Marietta Power to obtain a credit report for my account from Equifax Inc

Upload Identifications

VALID FORMS OF IDENTIFICATION ARE AS FOLLOWS: valid photo ID issued by the United States government, or any state or territory thereof, or a valid passport.
All documents are required in PDF and image format. Maximum of two files.


AVAILABLE PAYMENT METHODS


 
 
 
Authorization
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