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Utility Account Request

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Steps

  1. 1. Step One
  2. 2. Step Two

  • Step One

    5. Property Is*
    7. City / Township*
    11. Type of Request*
    17. Information Change*
    19. Requester Information*
    32. By signing this form, I state that I have authority to direct the Township to add or modify information regarding the service address above.
    34. Electronic Signature Agreement
      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.