New Submission

NOTE: If you are moving out of another residence, you will need to complete another form to stop services, or you may continue to be billed. To stop services please complete "Utility Service Order - Disconnect" form online, or call our office at 507-233-2121.
Review of your application may take up to 2 business days.

Applicant

Name as it should appear on bill
*field type single line
First Name
Input blocked. Maximum character limit of 40 characters reached.
*field type single line
Middle
Input blocked. Maximum character limit of 4000 characters reached.
*field type single line
Last Name
Input blocked. Maximum character limit of 40 characters reached.
Date of Birth*field type date

Service Address

Select One*field type radio button
Select OneOwnRent
Resident Count*field type number
People living at the home
Effective Date*field type date
Date must be at least 24 hours (1 full business day) from today and cannot be weekends.
Address*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Cityfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Statefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Zipfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type checkbox
Billing Address is different

Billing Address

*field type single line
First Name
Input blocked. Maximum character limit of 4000 characters reached.
*field type single line
Middle
Input blocked. Maximum character limit of 4000 characters reached.
*field type single line
Last Name
Input blocked. Maximum character limit of 4000 characters reached.
Street Addressfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
City*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
State*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Zip*field type single line
Input blocked. Maximum character limit of 4000 characters reached.

State Issued ID (Driver's License)

Issuing State*field type single line
Input blocked. Maximum character limit of 2 characters reached.
ID Number*field type single line
Input blocked. Maximum character limit of 30 characters reached.
ID Upload*field type file upload
You will need to submit ID before approval of application.
Drop files here
You have reached the maximum file limit: .

Applicant Contact

Primary Phone*field type drop-down
Type
*field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.
field type checkbox
It is Ok to text to this number
Secondary Phonefield type drop-down
Type
field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.
field type checkbox
It is Ok to text to this number
Email*field type email

Emergency Contact - (Must not live at this same address.)

Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phone*field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.

Applicant Employer

Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phonefield type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.

IMPORTANT: Gas Service Notice

Maintaining Customer-Owned Natural Gas Lines
The New Ulm Public Utilities owns and maintains the natural gas piping from the street to our natural gas customers' gas meters. As the property owner you are responsible for maintaining any natural gas lines from the meter outlet to gas appliances and equipment. The customer-owned piping may be above or below ground, and buried gas lines may run from the meter to a detached garage, outdoor gas grill, or other locations. Buried gas pipes can leak and metal pipes may corrode with age, causing a potentially dangerous situation. For the sake of safety, please have your buried gas pipes inspected periodically and repair them as needed. Contact a licensed plumber or heating contractor to assist you with inspecting or repairing your gas lines.
If it is an emergency, please call 911.
Before digging, call Gopher State One Call at 811, or 800-252-1166. It's the law.
If you have any questions about this notice, please contact the Gas Department at 507-359-8289.
Acceptance of Gas Notice*field type checkbox
Acceptance of Gas NoticeI ACCEPT

Applicant Signature

I am the applicant above named. I agree to electronically sign and to create a legally binding contract between the New Ulm Public Utilities and myself or the entity I am authorized to represent. I warrant the truthfulness of the information provided in this application.

I understand that this digital signature constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

I consent to doing this transaction/application electronically.

I acknowledge that I am responsible for all charges and bills related to this service.
Acceptance of Terms*field type checkbox
Acceptance of TermsI ACCEPT
*field type signature

Co-Applicant/Spouse (if applicable)

• A co-applicant is someone who can access information about the utility account.
• A co-applicant can make decisions about an account and sign payment agreements.
• A co-applicant is liable for any unpaid balances on the account during or after occupancy. Any unpaid balances may affect the credit history of both applicant and co-applicant.
• A co-applicant with a prior unpaid utility account balance will cause a deposit to be due before a new service is approved.
field type checkbox
There is a Co-Applicant

*field type single line
First Name
Input blocked. Maximum character limit of 40 characters reached.
*field type single line
Middle
Input blocked. Maximum character limit of 4000 characters reached.
*field type single line
Last Name
Input blocked. Maximum character limit of 43 characters reached.
Date of Birth*field type date

Co-Applicant State Issued ID (Driver's License)

Issuing State*field type single line
Input blocked. Maximum character limit of 2 characters reached.
ID Number*field type single line
Input blocked. Maximum character limit of 30 characters reached.
ID Upload*field type file upload
Drop files here
You have reached the maximum file limit: .

Co-Applicant Contact

Primary Phone*field type drop-down
Type
*field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.
field type checkbox
It is Ok to text to this number
Secondary Phonefield type drop-down
Type
field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.
field type checkbox
It is Ok to text to this number
Email*field type email

Emergency Contact - (Must not live at this same address.)

Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phone*field type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.

CoApplicant Employer

Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phonefield type single line
Numbers only - Include Area Code
Input blocked. Maximum character limit of 4000 characters reached.

CoApplicant Signature

I am the applicant above named. I agree to electronically sign and to create a legally binding contract between the New Ulm Public Utilities and myself or the entity I am authorized to represent. I warrant the truthfulness of the information provided in this application.

I understand that this digital signature constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

I consent to doing this transaction/application electronically.

I acknowledge that I am responsible for all charges and bills related to this service.
Acceptance of Terms*field type checkbox
Acceptance of TermsI ACCEPT
*field type signature

Utility Service Order

Applicant

Service Address

State Issued ID (Driver's License)

Applicant Contact

Emergency Contact - (Must not live at this same address.)

Applicant Employer

IMPORTANT: Gas Service Notice

Applicant Signature

Co-Applicant/Spouse (if applicable)