Form Center

2. 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.
4. Downloadable PDF Form
   Auto Utility E-Billing Enrollment Form (PDF)
8. Name*
10. 10-Digit Account Number
    Utility Billing Clerk can locate this information if you do not have it.
12. Service Address*
14. Email Address*
16. Daytime Phone Number*
18. 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.

    1. I understand.
20. 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.

    1. I agree.
22. Electronic Signature*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field