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Page last updated on April 19, 2024 at 9:09 am

Online Forms for Service

The City of Bloomington Utilities offers online forms for making adjustments to service. If you do not see what you are looking for, please call the Utilities Department at (812) 349-3930.

Residential Service

Sign up for Residential Service

Commercial and Multi-Family Service

Commercial Customer Contract

Automatic Payments

Sign up for Automatic Withdrawal

Disconnect Service

Disconnect Utilities Service

Special Read Agreement

When renters leave a property, property owners can sign up to have service automatically transfer back to them with a Special Read Agreement

Special Read Agreement

Special Read Agreement Cancellation

Name Change

Name Change Form

PDF Forms for Service

PDF versions of forms are printable alternatives of the online forms. These can be submitted in person, faxed, or scanned and emailed.

Residential Service

Sign Up for Residential Service

Application for New Water/Sewer Residential Connection (Individual Applicant)

Application for New Water/Sewer Residential Connection (Commercial Applicant)

Application for Extension of Utilities Service

Request for Adjustment

Request to Waive Sewer Connection Fee (Affordable Housing)

Request to Waive Sewer Connection Fee (Abandoning Septic)

Commercial and Multi-Family Service

Sign up for Commercial Service

Application for New Water/Sewer Commercial Connection (Commercial Applicant)

Application for Extension of Utilities Service

Request for Adjustment

Request to Waive Sewer Connection Fee (Abandoning Septic)

Automatic Payments

Sign up for Automatic Withdrawal

Cancel Automatic Withdrawal

Disconnect Service

Discontinue Utilities Service

Special Read Agreement (for landlords)

Special Read Agreement

Special Read Cancellation

Name Change

Update the name on your account after a legal name change (e.g. marriage). Do not use this form to put service in someone else's name. Use the Residential Service contract to assign a new person to the account.

Name Change Form

Lab Test and Report

Lab Test Report Form

Pool Test Report Form