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LIFE’S CHECKLISTS · FREE WORKSHEET

Utility setup and transfer plan

Confirm who serves the exact address and when service starts.

First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.

Completed example

This is a fictional practice entry. Write your own details in the blank sections below.

Service
Electricity
Official provider
Serving utility verified for address
Responsible person
Leaseholder Jordan
Start / stop date
Example start date: November 1
Required documents
Utility requested lease and accepted identity evidence
Cost / deposit
Example written estimate $50 deposit
Confirmed
Start confirmation saved October 23

Date: ____________________

Electricity

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Gas if used

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Water / sewer

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Trash

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Internet

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Phone

Official provider

Responsible person

Start / stop date

Required documents

Cost / deposit

Confirmed

Notes:

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