Start Service Form

Use this form to START CFU services if you do not currently receive services from us.

To complete this service form, you will need the following information:

Social security numbers for you and your spouse.
Your present and your new service addresses, including apartment, lot, or unit number.
The date you want service to begin at new address.
If you will be renting at your new address, we will need your landlord's name and phone number.
If you will have roommates at your new residence, we will need their names and phone numbers. Please also include each roommate's email address, school and place of employment (if applicable).
The name, address and phone number of someone not living with you that we can contact in case of emergency.

(CFU reserves the right to verify the submitted information with your landlord.)

This interactive application will collect the information we need to set up your CFU services. CFU must receive this information at least one working day before you want service to begin in your name. Working days are Monday through Friday, except holidays. If a holiday is selected, service will begin the next working day. Applications received after 4:00 p.m. will be considered to have been received on the next working day. Service will remain in your name until we receive notice to stop your service. If meters are located inside the home, CFU will contact you to make arrangements to read the meters before service can begin.

If you do not have a social security number, please call the Customer Service Department at 319-268-5280 from 7:30 a.m. to 5 p.m. Monday through Friday.

Service Confirmation

I certify I am filling out this form on my behalf and requesting service in my own name

If you're filling out this form on behalf of someone else, please call Customer Service to provide proper authorization

I understand all utility services applicable at my address will be started by completing this form

Service Address

Will you own or rent at the address where you would like to start service?

Own

Rent

Landlord Information:

Landlord Name *

Landlord Phone Number *

Address where service is to be provided

Street Address *

Service Address *

Apartment

Lot

Unit

None

Apt./Unit/Lot Number *

City *

State *

Zip *

Date You Want Service To Begin?:

Date *

Do you have a pet in the home or yard?

Yes

No

I agree to provide a safe and clear path to the meter and confine any pets *

NOTE: CFU must receive this application at least one working day before you want service to begin in your name. Working days are Monday through Friday, except holidays. If a holiday is selected, service will begin the next working day. Applications received after 4:00 p.m. will be considered to have been received on the next working day. Service will remain in your name until we receive notice from you to stop your service. If meters are located inside the home, CFU will contact you to make arrangements to read the meters before service can begin.

Where are you moving from

Please provide the address you are moving from below.

Street Address *

Current Address *

Apartment

Lot

Unit

None

Apt./Unit/Lot Number *

City *

State *

Zip *

How long have you lived at this address

6 months or less

6 months - 1 year

1 year+

Your Information

First Name *

Full Middle Name *

Last Name *

Have you been known by any other name (including maiden name)?

Yes

No

Maiden or Other Known Names *

Date of Birth (MM/dd/yyyy) *

Social Security Number *

If you do not have a social security number, please call the Customer Service Department at 319-268-5280 from 7:30 a.m. to 5:00 p.m. Monday through Friday.

Your Information (cont.)

Phone Number *

Email address *

Are you a student?

Yes

No

Where do you go to school? *

Are you employed?

Yes

No

Where are you currently employed? *

Marital Status

Single

Married

Utility Bill

How would you like to receive your utility bill?

Paperless (notificiation via email)

Mail

There are times we will need to mail you important information through the postal service. Do you want us to use an address that is different then where you receive service?

Yes

No

Mailing Address

Mailing address is same as service address

Mail to a different address

Street Address *

Different Address

Apartment

Lot

Unit

None

Apt./Unit/Lot Number *

City *

State *

Zip *

Spouse Information

First Name *

Full Middle Name *

Last Name *

Has your spouse been known by any other name (including maiden name)?

Yes

No

Maiden or Other Known Names *

Date of Birth (MM/dd/yyyy) *

Social Security Number *

Phone Number *

Email address *

If your spouse does not have a social security number, please call the Customer Service Department at 319-268-5280 from 7:30 a.m. to 5:00 p.m. Monday through Friday.

Is your spouse a student?

Yes

No

Where does your spouse go to school? *

Is your spouse employed?

Yes

No

Where is your spouse currently employed? *

Roommate Information

Will you have one or more roommates at the service address?

Yes

No

Roommate Information

- Remove Roommate

Roommate First Name *

Roommate Middle Name

Roommate Last Name *

Is this roommate a student?

Yes

No

Where does this roommate attend school? *

Is this roommate employed?

Yes

No

Where is this roommate employed? *

Roommate Phone Number *

Roommate Email Address

+ Add Roommate

Emergency Contact Information

Please provide contact information of someone not living with you that we may contact in case of emergency.

First Name *

Last Name *

Relationship *

Street Address *

Emergency Address *

Apartment

Lot

Unit

None

Apt./Unit/Lot Number *

City *

State *

Zip *

Phone Number *

Email

Garbage Collection

The City of Cedar Falls Public Works Department (not CFU) provides sanitary sewer, garbage collection, yard waste and storm water management services. The City Council sets the rates for these services. For your convenience, CFU sends customers a single, combined monthly bill covering all services provided by both CFU and the City.

If you have garbage collection at this address, this service will begin with your other utility services. If you would like to change the cart size or if this is a new home, please call Cedar Falls Public Works at 319-273-8629.

Learn more here.

Additional Comments

You have requested service to start at on

Use the space below for any additional information that may help us process your request for service.

Security Deposit Information

CFU reserves the right to require a security deposit when starting new services.