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Online Forms for Service

City of Bloomington Utilities offers online forms for making adjustments to service. If you do not see what you are looking for please call the Utilities Department at (812) 349-3930.

Residential Service

Individual Customer Contract

Commercial and Multi-Family Service

Commercial Customer Contract

Automatic Payments

CBU Authorization Agreement for Preauthorized Payments (Aqua Pay)

Disconnect Service

Request for Disconnect of Service and Final Bill

Special Read Agreement

When renters leave a property, property owners can sign up to have service automatically transfer back to them with a Special Read Agreement

Rental Information Packet for CBU Customers (PDF 222.85 KB)

Special Read Agreement
Special Read Agreement Cancellation

Rates and charges, rules and regulations, and other helpful information.

2016 Rate Study Information

Rates and Charges

Sample Water/Sewer Bill (PDF 306.12 KB)

City of Bloomington Utilities Customer Rights and Responsibilities (PDF 155.67 KB)
Rules, Regulations, and Standards of Service (PDF 270.70 KB)

Stormwater Utility Credit Manual (PDF 123.72 KB)

Home Emergency Preparedness from Red Cross (PDF 2.73 MB)
How to build a rain barrel (PDF 108.39 KB)

Underground Utilities Locator
WaterWiser Leak Calculator

PDF Forms for Service

PDF versions of forms are printable alternatives of the online forms. These can be submitted in person, faxed, or scanned and emailed.

Residential Service

Sign Up for Residential Service (PDF 22.54 KB)

Application for New Water/Sewer Connection Residential (PDF 56.32 KB)

Application for Extension of Utilities Service (PDF 68.57 KB)

Request for Adjustment (PDF 19.01 KB)

Commercial and Multi-Family Service

Sign up for Commercial Service (PDF 120.23 KB)

Application for New Water/Sewer Connection Commercial (PDF 56.05 KB)

Application for Extension of Utilities Service (PDF 68.57 KB)

Request for Adjustment (PDF 19.01 KB)

Automatic Payments

Sign up for Automatic Withdrawal (PDF 164.63 KB)

Disconnect Service

Discontinue Utilities Service (PDF 21.46 KB)

Special Read Agreement

Special Read Agreement 2014 (PDF 17.03 KB)
Special Read Cancellation (for landlords) (PDF 27.65 KB)

Name Change

Update the name on your account after a legal name change (e.g. marriage). Do not use this form to put service in someone else's name. Use the Residential Service contract to assign a new person to the account.

Name Change Form (PDF 152.77 KB)

Page updated 09-07-2016