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Note: Please Read the Instructions Before Printing the Application

1. Upon arrival at our office, you will be asked to complete the appropriate CUB application for service. You can save time by printing the application below and completing it prior to your arrival.
   Schedule of Rules and Regulations
   Residential Application for Utility Service-Individual-Office
   Business Application for Utility Service-Sole Proprietor/Partnership-Office
   Business Application for Utility Service-Corporation/LLC-Office
2. If renting or leasing, bring a copy of your current lease or rental agreement along with the name and contact number for your landlord.
   If you are applying as an individual, sole proprietor in a business, or as a partner in a business, you will be required to furnish your social security number as shown on your social security card, voter’s registration card, bank statement, payment stub, or W2 (or other tax form). We will also require one other form of photo ID (valid driver’s license, state issued ID, or military ID).
   If you are applying as an individual, please mark the appropriate box for what type of service you are applying for and whether or not the service is for business and/or rental purposes on a daily, weekly, or short term basis less than 90 days.
   If you are the authorized representative applying for a corporation/LLC, we will require you to furnish one form of photo ID (valid driver’s license, state issued ID, or military ID). We also require you to bring a copy of one of the following: corporate annual report filed with the Secretary of State, acknowledgement of corporation letter from the Secretary of State, or corporate charter stamped by the Secretary of State.
   Pay the required deposit(s) and/or fee(s).

If you are applying as an individual, sole proprietor in a business, or as a partner in a business, your social security number (SSN) is required by Clinton Utilities Board (the “Board”) in order to activate your account and commence service, and the SSN may be used by the Board for collection purposes if your account becomes delinquent. Under the Tennessee Public Records Act, social security numbers are designated as confidential, and as such the Board cannot release your number to any person or entity.

If you have questions regarding the application process, please feel free to contact our Customer Service Department at (865) 457-9232.