 |
|||||||||||
 |
|||||||||||
 |
|||||||||||
|
|||||||||||
 |
|||||||||||
 |
|||||||||||
|
New Customer Application Forms
New customer application forms should be used to request a billing account be set up with our company.
We have provided PDF formatted forms to be printed and faxed or mailed and Excel formatted forms to be returned via email.
Municipal / Tax Exempt Application
This form should be used by municipal and nonprofit, tax exempt customers
Fillable
Excel - Municipal / Tax
Exempt Application
PDF - Municipal / Tax Exempt
Application (Fax or Mail)
State of Connecticut – Sales Tax Exempt Forms
(to be completed only if you are exempt from CT sales tax)
Fillable PDF – CT CERT-134 Sales
Tax Exempt – Government Agencies
Fillable PDF – CT CERT-119 Sales
Tax Exempt – Non-Government Organizations
Commercial New Customer Application
This form should be used by commercial,
for profit customers
Fillable Excel – Commercial
Application
PDF - Commercial Application(Fax or
Mail)
Completed forms may be faxed to 203-753-1739 or by email to customerservice@norcomct.net
Please call us at 1-800-223-9008 if you
would like a fax copy of any form or have any question.
Billing Policies
