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 filled out, you may fax the forms into the Utilities Office at 740-477-8283, or mail to 108 E. Franklin St., Circleville, OH 43113, or hand carry into the office.  Please call 740-477-8255 with any questions. 
  1. (ACH) Automated Bill Payment Authorization Form
  2. Property Owner Contract Packet for Water/Sewer Service
  3. Tenant or Lessee Rental Contract for Water and/or Sewer