City of Bloomington Utilities
Individual Customer Contract
Sign up for water and sewer service
(for residential customers). You will need an acceptable form of identification to attach as a file to this service application, such as a valid Driver’s License, State ID, Military ID, or Passport. Our office will contact you if further information is required in order to process your application.
Customer Service Office Contact Information
8:00 am to 5:00 pm M-F
600 E Miller Dr
Bloomington IN 47401
Field is Required
The service address is:
(Please provide an email address to receive a confirmation email and status updates)
Same as above
Date of Birth
(Drivers License #, Passport #, etc.)
Other - Please Explain
Name of the Property Owner
Owner's Phone Number
Employer's Phone Number
Requested Date of Change
(Please select a date after today and Monday - Friday)
Are you a new customer to City of Bloomington Utilities
City of Bloomington Utilities Account Number
How would you like to receive your monthly bill from us?
(please provide e-mail address above if choosing e-mail bill option)
Mail & E-Mail
Emergency Contact Information
In the Event of an emergency concerning your water and/or wastewater service, please provide us with the following emergency contact information.
Please include supporting identification with this application:
I affirm that the information contained herein, including attachment(s), is complete and accurate.
Click if you Agree