Start New Utility Service

Please fill out the application below.

��	Application for Utility Services City of Beverly Hills 455 N. Rexford Drive Beverly Hills, CA 90210
Please fill out the application below to start your water and refuse collection services. A confirmation receipt will be emailed to you after you submit the application. Please note that you will be billed for your deposit on your first bill if you decide not to get a credit check, have any account write offs or more than four incidents of late payments of more than thirty days. To learn more about how your deposit amount will be calculated, please click here . Should you have any further questions or concerns, please email us at utilitybilling@beverlyhills.org or call (310) 285-2436.
Account Name (First, Middle, Last)
Care/of (Optional)
Company Name (Optional)
Contact Name (First, Middle, Last)
Start Date of Service (MM/DD/YY)
Service Address (Example: 123 Main Street)
City
State	California
Zip Code
Billing Address (Example: 123 Main Street)
City
State
Zip Code
Social Security Number/FEIN
Primary Phone Number
Secondary Phone Number
Email Address
Run Credit Check?
I am a(n):
Bill Delivery Preference?
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Certification I hereby acknowledge and agree to start utility services at the above address under the terms provided in Title 6, Chapter 1 of the City of Beverly Hills Municipal Code and to abide with other applicable Beverly Hills ordinances, codes, laws, and regulations including, but not limited to water conservation, water contingency, water supply, or related ordinances in effect at the time of this request or as lawfully modified from time to time. If I selected "Yes" to getting the City of Beverly Hills (CITY) to run my credit, then I authorized the CITY to obtain a copy of my consumer credit report to determine if I could start utility services without having to pay a deposit. If my credit score is less than 650,�I will be required to pay a deposit. I understand that credit inquiries have the potential to impact my credit score. Provide your digital signature by typing in your name and click "Submit" to indicate that the information provided above is true and you agree to the terms of service. Digital Signature: � ��