Request Water Service
Are you Renting, Leasing, or Owning? *
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Service Request *
 Personal Information
First Name
Last Name
Phone Number
Service Request *
 Personal Information
Builder Name
Representative Name
Phone Number
Mailing Address *
 Mailing Information
Mailing Address
City
State
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When starting a Utility Account there is a $27.00 Account Maintenance Fee that will be charged on your first bill. This fee is a one-time charge and will not be on any bills following your first one. By checking the box below you are accepting that you understand and acknowledge this fee. *
By checking the box below you agree to the following terms. I agree that the information provided is accurate and that I am the individual associated with this information. I agree to submit this information to the City of Belmont in North Carolina and understand that this information will be used to start a Utility Account under the information I provided. I understand that I will be held financially responsible for any charges associated with starting this Utility Account with the City of Belmont in North Carolina. *
We are sorry, the City of Belmont is unable to accept online submissions for citizens that will be renting or leasing a property. You will be required to stop by City Hall at 115 N Main St, Belmont, NC 28012 in order to fill out a new service application. You will need to bring a valid ID along with a $150.00 deposit. Deposits can be made with cash, check, money order, or a credit/debit card. If you choose to use a credit or debit card, additional payment processing fees will apply. If you have additional questions please call 704-825-5586 and choose the option for water bills. Please check the box below to acknowledge that you have read and understand these terms. *
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City of Belmont, NC