Sign Up For New Residential Service

Welcome to New Holstein ! We're happy to be your new utility provider. Please submit the form below to begin the process for service at your new residence. We do require at least a 24-hour notice to read meters. We are closed weekends and holidays. Our office hours are Monday - Thursday 7:00a.m. - 4:30p.m. Friday 7:00 a.m. - Noon.

Your Wisconsin driver license and social security will be used to verify your identity. If you do not hold a Wisconsin driver's license or can not provide this information, you must stop in our office to show proof of indentity.

If your residence has a rented water softener from NHU, please call our office to schedule an appointment to have it serviced. There is no cost.

Customer Information

Date of New Service *

Name(s) That Should be Listed on Account *

Only names listed on the account will be able to access any account information.

New Address

Street Address *

Apt.

City *

State *

Zip *

Primary Phone *

Secondary Phone

Email *

Rent or Own (Buying) *

Rent

Own

New Landlord Name

New Landlord Phone Number

Previous Address

Street Address *

Apt.

City *

State *

Zip *

Rent or Own *

Rent

Own

Previous Landlord Name

Previous Landlord Phone Number

Employer

Employer Name

Employer Phone Number

Spouse or Roommate Information

Name *

Employer Name

Employer Phone Number

Any Other Specific Instructions

Wisconsin Driver License Number - 1st Person *

Date of Birth - 1st Person *

Name as it Appears on Drivers License - 1st Person *

This must be a valid WI drivers license for verification. If drivers license is incorrect or you do not have one, you will need provide your social security number or stop in our office with another form of verification.

Wisconsin Driver License Number - 2nd Person *

Date of Birth - 2nd Person *

Name as it Appears on Drivers License - 2nd Person *

If non-applicable, enter N/A

Leave this field blank

People you know. Service you trust.

Your Wisconsin driver license and social security will be used to verify your identity. If you do not hold a Wisconsin driver's license or can not provide this information, you must stop in our office to show proof of indentity.

If your residence has a rented water softener from NHU, please call our office to schedule an appointment to have it serviced. There is no cost.

Customer Information

New Address

Previous Address

Employer

Spouse or Roommate Information

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Sign Up For New Residential Service

Your Wisconsin driver license and social security will be used to verify your identity. If you do not hold a Wisconsin driver's license or can not provide this information, you must stop in our office to show proof of indentity.

If your residence has a rented water softener from NHU, please call our office to schedule an appointment to have it serviced. There is no cost.

Customer Information

New Address

Previous Address

Employer

Spouse or Roommate Information