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Utility Service Request Form

Start, stop or transfer a utility service — property, dates and account holder in one request.

A ready-to-use government & public sector form for councils, agencies and public bodies: 11 questions, 2 pages, 3 conditional rules.

Questions
11
Pages
2
Layouts
classic · card
Conditional rules
3
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Live preview and test console

This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.

Page 1 of 2 — The request

Utility service request

1 question is hidden by conditional logic right now — change an answer above to reveal it.

Compliance checklist

Ready to publish
  • Payment items priced — passingEvery payment question charges a real amount, so a submission always records a payment.
  • Conditional logic resolves — passingEvery rule points at a question or page that exists in this template.
  • Legal text not required — passingThis template collects neither health nor regulated financial information.
  • Question labels unique — passingLogic and exports address questions by label, so duplicates are ambiguous.

What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.

Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.

Who this template is for

Utility Service Request Form is built for councils, agencies and public bodies who need to run a public request or application to a consistent standard.

  • Councils, agencies and public bodies working in government & public sector.
  • Teams who need to run a public request or application to a consistent standard without writing code or paying for a custom build.
  • Anyone replacing paper forms that are slow to process and hard to audit with one structured record per enquiry.
  • Respondents are residents and applicants — the form asks them 11 questions across 2 screens.
  • Mobile-heavy audiences, thanks to the one-question-per-screen card layout.

Why this form is useful

It removes the cost of paper forms that are slow to process and hard to audit and turns each submission into a record your team can act on immediately.

  • 6 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It collects a verified email address so replies and confirmations land.
  • It captures a phone number for urgent follow-up.
  • It pins the request to a specific date.
  • It captures a full postal address.
  • It allows multiple selections without free text.
  • Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Utility Service Request Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  5. 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 3 conditional rules ship with it.

  • Features conditional validation: if “Request type” is Transfer, “Moving from or to address” becomes mandatory before the form can be sent.
  • Features advanced show logic: if “Request type” is Meter issue, the form dynamically exposes “Describe the issue and current meter reading”. Otherwise that question never appears.
  • Features conditional validation: if “Request type” is Meter issue, “Describe the issue and current meter reading” becomes mandatory before the form can be sent.
  • All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

About this template

Utility administration is four requests wearing one coat: connect a service, disconnect it, transfer it to a new occupier, or report a meter problem. This form asks which one first, then adapts. Page one takes the request type, which services are affected — electricity, gas, water, internet, waste — the property address and the date the change is wanted. Page two identifies the account holder with name, email, phone and any existing account number, plus the address they are moving from or to, and a free-text box for anything unusual such as restricted access or a dog in the yard. It is deliberately property-first rather than person-first, because utilities attach to meters and addresses, not to people, and that is where most administrative mix-ups begin. Two rules do the branching: a transfer requires the moving address, since a transfer without one is unprocessable, and a meter issue reveals a required description with the current reading so the fault can be triaged before an engineer is dispatched. It sits naturally alongside the Change of Address Form, which notifies everyone else of the same move.

What this form asks

Every question is editable — rename it, make it optional, or delete it entirely.

Page 1 — The request

  • Request typerequired
  • Servicerequired
  • Property address
  • Requested daterequired
  • Describe the issue and current meter reading

Page 2 — Account holder

  • Full namerequired
  • Email addressrequired
  • Phonerequired
  • Current account number
  • Moving from or to address
  • Anything we should know

11 questions in total.

How the form changes as it's filled in

This template ships with 3 conditional rules, grouped into 3 behaviours driven by 1 question. Everything below is already set up — edit or delete any rule once the template is in your workspace.

Driven by “Request type”

  • Makes answers required

    If “Request type” is Transfer, “Moving from or to address” becomes required before the form can be submitted.

  • Reveals questions

    If “Request type” is Meter issue, the form reveals “Describe the issue and current meter reading”.

  • Makes answers required

    If “Request type” is Meter issue, “Describe the issue and current meter reading” becomes required before the form can be submitted.

Set it up step by step

  1. 1

    State your notice period

    Put the working days you need on the cover so the requested date is realistic before it is submitted.

  2. 2

    Trim the service list

    Remove any utility you do not administer — a list of services you cannot act on generates misrouted requests.

  3. 3

    Route by request type

    Send disconnections to billing and meter issues to field operations automatically using the first answer.

  4. 4

    Confirm with readings

    Reply with the opening or closing meter reading in writing; it is the single best defence against a billing dispute.

Mistakes to avoid

  • Treating a transfer like a new connection, which produces two accounts for one property and a billing dispute a month later.
  • Accepting a meter fault report with no reading, so an engineer visits with nothing to compare against.
  • Asking for a requested date without stating the working-day notice you actually need.

What it pairs with

Most teams don't run this form on its own. These are the forms and systems it sits next to.

What to do with the responses

Confirm the requested date against your engineer availability, open or close the account against the property address, and send the account holder a written confirmation with the final or opening meter reading.

Works in both layouts

Browse classic templatesBrowse card templates

Forms that overlap this one

These pages cover the same subject ground as the utility service request form, matched on the words people actually search for.

Frequently asked questions

Can one form handle connections and disconnections?

Yes. The request type drives the branching, so each requester only sees the questions their request needs.

Why ask for the moving address?

A transfer moves an account between properties or occupiers. Without both ends the transfer cannot be completed, which is why it becomes required.

Is this suitable for tenants as well as owners?

Yes — the account holder section works for either. Add a tenancy reference question if your process needs one.

What about emergencies such as a gas leak?

Add a clear line on the cover telling people to phone the emergency number instead. A form is the wrong channel for anything urgent.

Is the Utility Service Request Form template free to use?

Yes. You can preview and test Utility Service Request Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Utility Service Request Form template ask for?

It asks 11 questions across 2 pages, 6 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Utility Service Request Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this government & public sector form work?

3 conditional rules ship with the template: Features conditional validation: if “Request type” is Transfer, “Moving from or to address” becomes mandatory before the form can be sent. Features advanced show logic: if “Request type” is Meter issue, the form dynamically exposes “Describe the issue and current meter reading”. Otherwise that question never appears. Features conditional validation: if “Request type” is Meter issue, “Describe the issue and current meter reading” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.

Where do responses to the Utility Service Request Form form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Utility Service Request Form form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.

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