Forms

Bank Draft Authorization
 

Use these forms to set up or cancel an automatic bank draft.
Automatic Bank Draft Authorization Form
Bank Draft Cancellation Form

Cancel Service
 

Complete and submit this form at least 3 days prior to your requested service cutoff date.
Customer Cut Off Request Form

Customer Information Update Form
 

Use this form to update your account information, add a phone number or email to your account, or request text message notifications.
Customer Information Update Form

Customer Feedback Form
 

Use this form to provide feedback to our customer service representatives. We value your input.
Customer Feedback Form

Employment Application
 

Complete and mail this form to Winchester Utilities to be considered for employment when we have open positions.
Employment Application

Estimate Your Electric Bill
 

Use this worksheet to estimate your electric bill.
Estimate Your Bill Worksheet

Medical Emergency Certificate Form
 

This form must be completed by a licensed Physician or Nurse Practitioner stating a well-defined illness and the medical necessity of utilities. It must be updated annually.
Medical Emergency Certificate Form

Project Help Form
 

Complete this form to add a donation to your utility bill to help those in need.
Project Help Form

Contact Us

You can contact our customer service representatives by calling (931) 967-2238 or completing the form below.