Public Utilities Service Sign-Up Forms

  • Department of Utilities Forms are attached below.  You may print these blank forms and fill them out at your convenience.  Once you have these filled out you have several options to get the forms to the office.  You may fax the forms into the Utilities Office at 740-477-8283, you may email these forms to RPinson@circlevilleoh.gov , you may send them by postal mail to 108 E. Franklin St., Circleville, OH 43113, or you may hand carry them into the office.  Please call 740-477-8255 with any questions.

  1. (ACH) Automated Bill Payment Authorization Form
  2. Property Owner Contract for Water and/or Sewer
  3. Tenant or Lessee Rental Contract for Water and/or Sewer