New Service Request

Font Size: + -

Feedback Print

Please correct the fields below:

Please correct the field(s) marked in red below:

Please let us know at least a week in advance if you are moving so we can set up your new account. The information on the form below is emailed directly to our Utility Billing Clerk.

If you would like to speak with our Utility Billing Clerk in lieu of submitting this form, please call (218) 879-3844 or you can email mcooper@cloquetmn.gov

Please provide the following information

*

Please provide the following information

Name

Phoneext.

Email

Service Address

City

State

Zip Code

New Service Date

Bill-To Address

City

State

Zip Code

If "Rent" has been selected below, the "Landlord Name" is required. If "Landlord Name" is not known, type "Unknown."

Rent

Own

Landlord Name