Utility Customer Application

The following information MUST be provided to become a utility customer. Failure to do so may result in refusal of or termination of service.

The form below will not be considered complete until a utility deposit has been made in person at City Hall or over the phone by calling 402-643-2927.

If you would prefer to print out a form to fill out and submit with your deposit, click here.

Utility deposits will be refunded after 24 months with no late payments. The deposit will be applied to the balance due on the account. Any balance of the deposit will be refunded after the final bill is paid.

Utility bills are emailed/mailed prior to the 1st day of the month and are DELINQUENT AFTER THE 15TH DAY OF THE MONTH.  A 10% late charge will be assessed to all bills received after the 15th.  Payments can be made at City Hall, the drop box located in the alley south of City Hall, bank deduction or online.

Utility Customer Application Form

    Required fields are marked with *.

    Date of Service*

    Customer Name*

    Service Address*

    Check One*RenterOwner

    Number of people living here*

    If renter, list landlord* (if you are an owner, type "none" here)

    Last 4 digits of social security number*

    Phone* Phone Type

    Employed by:

    Date of birth*

    Email Address*

    Please email my monthly utility billing to the above email address.

    Co-Occupants, if different than listed above


    Cell Phone

    Work Phone


    Cell Phone

    Work Phone

    (Please sign your name in the box below using your mouse on a desktop computer or with your finger on a touchscreen.)

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