Form Center

Step One

**Before applying for Utility Service, you must sign up for water. Depending on where you live, you will need to contact Madison Suburban Utility District, White House Utility District, or Metro Water.
Name(s) of person(s) to bill
If applying for a business, split business name between both fields if applicable. Ex. First Name: CITY OF Last Name: GOODLETTSVILLE
First Name*
Last Name*
First Name
Last Name
Service Address
Address1*
Address2
City*
State*
Zip*
Mailing Address
Street Number*
Street Name*
Street Type*
Apt #
City*
State*
Zip*
Telephone*
Email*
Driver's License*
Service Start Date:*
Please check the appropriate boxes. *
1. OWN
2. RENT
3. COMMERCIAL
Upload Rental/Lease Agreement
If you rent, you MUST submit a rental/lease agreement.
Each residence should have one blue trash container and one tan recycle container. If you do not currently have containers at your residence, please indicate below which containers need to be delivered.
Containers*
1. Please deliver 1st Container (One Blue Trash and One Tan Recycle Container)
2. Please deliver 2nd Container Trash - Additional $75 Non-refundable setup fee (will be applied on first bill). $4 per month extra on monthly bill.
3. Please deliver 2nd Container Recycle - No extra fee
4. I do not want a Recycle Container.
5. I already have required container(s).
Please check how you would like to receive your bill:*
1. Paper Bill by Mail
2. Electronically via Email
Continue

If you would like to sign up for an automatic bank draft, please complete the following boxes. If not, please go to next page.
Bank Name
Bank Address1
Bank Address2
City
State
Zip
What type of account will be drafted:
1. Checking Account
2. Savings Account
Account Number
Routing Number
By checking this box, I give the authority to the City of Goodlettsville to bank draft my account for the payment of my monthly utility bill. I understand this authority shall remain in full force and effect until written notification of termination is received from me or until the City of Goodlettsville has sent me ten (10) days written notice that they will end this agreement. The City of Goodlettsville and the banking institution have a reasonable opportunity to act upon it. I understand that nothing contained in this Authorization shall serve to reduce my obligation to my utility bill and services may be disconnected, turned over to collections, and/or a lien placed on the property in addition to delinquency fees should I fail to have sufficient funds in the above-referenced account to cover the amount of the bill.
1. I agree.
Continue |Go Back

By checking this box, occupant(s) agree to apply for services that include stormwater, as well as if available, sewer and residential sanitation. Occupant(s) agree to pay the monthly charges for these services as bills become due along with applicable charges. Occupant(s) understand the City's policies and procedures for establishment of service including payments and delinquency enforcement. I agree to accept correspondence and/or telephone calls from the City of Goodlettsville regarding this account. If for any reason you are sent to a collection agency, you are responsible for the collection fees.*
1. I agree.
Auto Pay with Credit/Debit Card
After submitting application, you may enroll in auto pay with a credit or debit card by visiting the Utility Billing section of the City of Goodlettsville website.

Leave This Blank: