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This application is to establish or transfer service at an existing Marshfield address only, and should NOT be used with any new construction without FIRST obtaining the required permit(s).

Fields with ( ) are required. If using a keyboard, press the Tab key to advance through each field.

Marshfield Utilities Account Information

Is this for a Commercial Property?

Yes

First Name:

MI:

Last Name:

Date of Birth:

Email Address:

Confirm Email Address:

Phone Number:

Social Security Number:

Is there a second ADULT to be included on the account? Please select ONE below

YES - Spouse

YES - Roommate

YES - Other

No - There is no other adult

Customers not wishing to complete the online application, may print the PDF version and fax, email, mail or bring to Marshfield Utilities office. Please remember processing will be delayed. Marshfield Utilities must have one business day to process a completed application, but only after it is received.

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Marshfield Utilities Account Information

Manager or Business Contact

2nd Name