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Utility E-Billing Enrollment Form

  1. We are happy to offer electronic delivery of your monthly utility bill. To sign up, please complete this online form or download the PDF form and mail it to City Hall, located at 310 Greenwood Street, Grand Ledge, MI 48837.
  2. Utility Billing Clerk can locate this information if you do not have it.
  3. Acknowledgement*
    By completing this form, I elect to receive my bill electronically. I will keep my email address updated with the City of Grand Ledge Utility Billing system. I understand that failure to receive a bill does not exempt me from penalty/collection activity or shut off subject to applicable notice requirements. I understand that I will no longer receive a postcard copy of my bill.
  4. 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.
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  6. This field is not part of the form submission.