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JENKS PUBLIC WORKS AUTHORITY APPLICATION FOR WATER, TRASH, & SEWER SERVICE

  1. BlkJenksLogo

  2. JENKS PUBLIC WORKS AUTHORITY
    PO Box 2007
    211 N Elm St Jenks OK, 74037
    918-299-5363

  3. Billing Address (if different than applicant)*

  4. Have you ever had service with the City of Jenks?*

  5. Trash Collection Services

  6. Type of Trash Service Requested *

  7. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. The undersigned agrees to pay the established rates set forth by the City of Jenks and agrees to regulations governing said service. This application becomes a contract upon the establishment of service.

  8. Under Art.10, Sec. 17, Oklahoma Constitution, the City is required to collect all fees and charges for utility services provided to its customers.

  9. DEPOSIT REQUIRED ON ALL ACCOUNTS. FOR DEPOSIT AMOUNT, CALL 918-299-5363.

  10. Leave This Blank:

  11. This field is not part of the form submission.