Town of Mocksville

Application for Service

Water|Sewer|Trash

You may complete this form online to create an account (see below online form) or download and print a copy here.

To fill out online, please have the following documents available:

  • Driver’s license
  • Lease agreement,  if renter
  • Property deed or closing document, if owner

Renters may pay the $200 deposit in cash, check, or with a credit card – visit the office or mail payment to:

Town of Mocksville
171 S. Clement Street
Mocksville, NC 27028

The deposit is waived with proof of ownership. 

If you have questions please call 336-753-6700 or email HERE.

Application for Service - Water, Sewer & Trash

This form is an online application for water, sewer, and trash services provided by the Town of Mocksville.
  • Date Format: MM slash DD slash YYYY
  • Drop files here or
    Accepted file types: pdf, jpg, jpeg, png, tiff, gif.
    You may upload a copy of your deed or closing document as proof of ownership. This is necessary for your deposit/activation fee to be waived.
  • Drop files here or
    Accepted file types: pdf, png, tiff, jpeg, jpg, gif.
    Please upload a copy of the lease agreement if you are renting the property.
  • Please include the apartment or suite number in the address line if you have one.
  • Include BOTH your Driver's License number and the State that issued it.
  • Drop files here or
    Accepted file types: pdf, jpg, jpeg, png, tiff, gif.
    Please include a copy of your Driver's License. You may upload it here. Include Driver's Licenses for both the applicant and co-applicant.
  • Please include the co-applicant's license and the state that issued it.
  • Drop files here or
    Accepted file types: pdf, jpg, jpeg, png, tiff.
    Please include a copy of your Driver's License. You may upload it here. Include Driver's Licenses for both the applicant and co-applicant.