Moving into a New Home? Start New Service Here New Service Type (required)Residential Service AccountGeneral Service AccountRequested Connection Date: mm/dd/yyyy (M-F only - please allow 2 business days for connection) (required)Applicant First Name (required)Applicant Last Name (required)Applicant Phone (required)Applicant e-mail (required)Mailing Address (street)Mailing Address (city, state, zip)Applicant Social Security Number (last 4 digits) (required)New Service Address (street) (required)New Service Address (city, state, zip) (required)Previous Address (street, city, state, zip) (required)Image of Driver's License (front only) (required)Current Employer Name & Phone # (required)Parcel ID # (optional) (Need Help? Check the Helpful Link below to locate parcel #)Spouse or Co-Applicant Full NameSpouse or Co-Applicant PhoneSpouse or Co-Applicant e-mailSpouse or Co-Applicant Social Security Number (last 4 digits)Spouse or Co-Applicant Driver's License ImageCurrent Employer Name & Phone #Relative Reference Full Name & Phone # (not residing in the same home) (required)Relative Reference Relation (required)FatherMotherSiblingOtherPersonal Reference Full Name & Phone # (required)Are you renting? (required)NoYesIf renting, please provide Landlord Name & PhoneNew Account Deposit & Service Charge (required)I understand that SESD requires a Security Deposit of $250.00I understand that my FULL 9-digit social security number will be required - given over the phone, prior to paying the account deposit.I understand that my first bill will include a new account service charge of $20.00Application Terms & Conditions: Release is hereby given to SESD to obtain any and all such information from employer(s) or references as may be deemed necessary to process this application for electrical service or for collection of any unpaid balance due. I agree to pay all amounts owed within 30 days of when such amounts are incurred. I agree that interest will accrue on all past-due amounts at the rate of 18% per annum (1.5% per month) until paid in full. In the event that any amounts are referred to a third party debt collection agency, I agree that in addition to any other amounts allowed for by law, such as interest, court costs, reasonable attorney’s fees, etc. I will also be responsible for a collection fee of up to 40% of the principal amounts owing as allowed by Utah Code Annotated, sec.12-1-11. The terms of this paragraph shall apply to all amounts incurred by me or by any individual for whom I have legal responsibility whether such amounts are incurred today or after today. The undersigned, hereinafter referred to as CUSTOMER, applies to SESD, hereinafter called DISTRICT, for utility services. In consideration of the acceptance of this application by the District, and the rendering of such service, the Customer agrees and grants as follows: The Customer agrees to pay for such services in accordance with the rules and regulation and the applicable rates for such service now in effect or as the same shall lawfully be amended or changed from time to time. Customer agrees to pay all utility bills and charges associated with this account within twenty days after receipt of bill. It is understood that if the utility bill becomes 30 days delinquent, the utility service will be disconnected. Utility service shall not be restored until all delinquencies, reconnection fees, and any applicable deposits imposed are paid in full. Customer agrees to notify the District three (3) business days in advance of termination of service. The meter deposit will be applied to the final billing. Customer agrees to permit access to the District, its agents or employees, to enter the premises as described on the reverse side at all reasonable times for the purposes necessary and incident to rendering of such service. 6. Customer warrants that he/she has the authority to sign this agreement and to grant permission to the District to enter the premises. Customer agrees that he/she will make certain that the meters and equipment are readily accessible to the district and that there are no barriers or animals preventing reasonable access. Customer agrees to pay any damage to the meters or equipment excepting normal wear. To secure payment for services rendered, the Customer grants to the district the right to claim a lien on all real property which receives service and is either owned by the Customer or possessed by him as vendee under a Real Estate Contract when the bill for such services is 45 days delinquent. Any notices to be given to the Customer shall be mailed or delivered to the Customer at the address listed on this agreement. Customer understands District absolves itself from any responsibility for damage to electric devices or appliances caused by power surges, bumps, outages, or acts of nature. CUSTOMER STATES THAT HE/SHE HAS READ ALL OF THE ABOVE PROVISIONS AND AGREES TO THE SAME. (required)I have read & accept the Terms & Conditions & District's policies for serviceType Full Name to Agree to SESD's Terms & Conditions (required)Today's Date (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.