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CITY OF COLONIAL HEIGHTS COVID-19 UTILITY RELIEF PROGRAM Utility Arbitrage Assistance Customer Intake Form 1. Application Date: 2. Account Number (9 digits) Customer Number (7 digits): 3. Amount Due
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Start by gathering all the necessary information from the customer such as their name, contact details, and any other required personal or business information.
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A customer intake form for utilities is a document used by utility companies to gather essential information from new customers for account setup and service provision.
Any individual or business that wishes to initiate utility services, such as electricity, water, gas or internet, is required to file a customer intake form.
To fill out a customer intake form for utilities, provide personal or business details such as name, address, contact information, and sometimes identification and payment details, then submit it as instructed by the utility provider.
The purpose of the customer intake form is to collect necessary information to establish utility services, ensure accurate billing, and enable customer communication.
The form typically requires reporting personal information such as name, address, phone number, date of birth, and possibly banking or credit card information for payments.
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