Application for Service

Application for Service

(* Denotes Required Field)


Applicant's Information






YesNo






Owner
Tenant
Property Manager
Realtor
Other

Notifications
This provides you with up-to-the-minute information about service issues including past due and disconnect notification. You will receive notification by text or phone call based on the option chosen. Please take a few moments to complete the following section to insure accurate contact information.

Emergency Shut Down
Disconnect Notice
Primary
Secondary
Alternate
Text
Voice

The City of Brentwood does not charge for use of this service.  However, your wireless service provider may levy fees or charges for receipt or sending of messages by your equipment through the service, and you are solely responsible for such charges, which may appear on your wireless bill or be deducted from your pre-paid balance.


Co-Applicant's Information






Service Information

Garbage Service

Service consists of weekly pick-up of a Garbage Cart (brown). The Recycling Cart (blue) or Yard Waste Cart (green) will be picked-up on alternating weeks. Carts come in 3 sizes (32, 64, or 96 gallons). The monthly fee is based on the size of your brown cart.

Select one:
None
32 gal @ $25.36 / month
64 gal @ $37.70 / month
96 gal @ $45.25 / month
None
64 gal (no fee)
96 gal (no fee)
None
64 gal (no fee)
96 gal (no fee)

  • View the Garbage Service Day schedule to determine the weekly pickup day for your street.
  • An application fee of $37.64 will be charged on your first bill. For a list of garbage, sewer and water rates for residential service see Rates & Billing Information
By submitting this application, I hereby acknowledge that I am requesting utility services at the above address. I hereby agree to pay the rate prescribed by ordinance now in effect or hereafter enacted. I understand that I shall be responsible for all charges for service relating to this application until the date I notify your office to discontinue services. I understand my monthly bill will include water base, water usage, sewer, sewer lateral and garbage charges for service requested. Bills are due upon presentment. A 5% penalty will be assessed if not paid by the due date. Any bill in delinquent status that requires a discontinuance of service(s) will require the delinquent bill to be paid in full, as well as reconnection fee, in order for service(s) to be reinstated. In accordance with the City Council Administrative Policy 10-2, utility customer information shall be provided consistent with Government Code Section 6254.16. 
 
I have read and understand the information above and agree to them by initializing below. If this account is for a business, I certify that I am authorized to initial on behalf of the business.