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Gas

Water

Sewer/Trash

CARROLLTON UTILITIES INFORMATION REQUEST FORM

First Name (required)	Last Name (required)	Date

Company (if applicable)	*Carrollton Utilities Account #

Service Address	Mailing Address

City, State, Zip	City, State, Zip
........	........
Phone #	Fax #

Email Address (required)

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*Account number must be included if information is being requested regarding your account with Carrollton Utilities.
Account number is located on your monthly bill.

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Phone 502-732-7055
After Hours Emergency 502-732-6621
Email custservice@carrolltonutilities.com

Carrollton Utilities