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City of Gillette, Wyoming

gillette@gillettewy.gov

201 E 5th Street, Gillette, WY, 82716, US

307-686-5200

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Utility Account Request Form

Full Name

Service Address

Mailing Address (if different)

If this is a cell phone would you like to receive text notifications if the account would ever be due for shut off.

Date of Birth

Date Picker

Change year by double clicking on the year.

By selecting YES, I give the City of Gillette permission to run a soft credit check, that will not affect my credit score, for a fee of $5.00. The results of the credit check will determine whether or not I will be required to pay a $200 Deposit.
 
By selecting NO, I am waiving the option for a credit check and understand I will be required to pay the $200 deposit.

Soft Credit Check

Are you owning or renting?

If renting, we will need a picture/copy of the page on your lease that shows your name and the address.

Upload File(s)

Click Here to Upload

Is it a mobile home?

If so is it existing or are you moving a new trailer on the lot?

Contact Building Inspection at 686-5260 to have to have mobile home inspected. After inspection is complete contact Customer Service at 686-5206 for account setup.

Would you like to receive your bills by regular mail, email, or both?

Who would you like to list as an additional/emergency contact on this account?