Form Center

2. Please submit this form online when you move into a home in Apple Valley, Minnesota to begin receiving bills for your City-provided utilities.
4. Service Address*
   Please enter the street address of the property to receive services.
6. Effective Date*
   Effective Date
   Please enter the date that your account will become effective.
7. Ownership Status*

   1. Purchasing
   2. Renting

   Please indicate if you are purchasing or renting the property.
9. First Name (Person 1)*
10. Last Name (Person 1)*
12. First Name (Person 2)
13. Last Name (Person 2)
15. Mailing Address (if different from Service Address noted above)
    Please provide mailing address if different from address of property receiving service.
17. City
18. State
19. Zip
21. Email Address*
    Enter your primary email address.
22. Phone*
    Enter your primary phone number.
24. Secondary Email Address
    Enter any secondary email address
25. Secondary Phone
    Enter any secondary phone number.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field