Use this form to request a change or termination of City of Montrose utility services. Fees may apply.

To setup a new service stop by City Hall at 433 S. First Street between the hours of 7am - 6pm Monday - Thursday. A 50 dollar deposit is required. This deposit, with interest, will be credited to your account after 18 months of service without delinquency. If you discontinue service prior to 18 months, the deposit and interest amount will be applied to your final bill.

Please note: If this request is received during the last seven days of the month, it may not be processed until the first of the following month due to billing constraints. Please allow 24 hours for processing of on/off requests.

Date:

Last Name:

First Name:

Telephone #:

Service Address:

Mailing/Forwarding Address (if different than service address):

Are you the owner or renter?

Owner Renter

If renter, Landlord's Name:

Landlord's address:

Landlord's Phone #:

Have you had service with the City within the last year?

Yes No

Previous Service Address:

Would you like to receive curbside recycling service?

No Yes

Additional 90 gallon trash container? ($10 extra fee and a minimum of 8 months)

No Yes

Date to start/stop service

Please allow 24 hours for your request to be processed. Any request submitted after 2:00 pm will be processed the following business day.

Customer's Government-issued Photo ID # (i.e. drivers license):*

Comments or instructions: