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Utility - Snowbird Application (Reinstate services)

  1. Please provide the date you would like to reinstate services.

  2. I understand I must be gone for a minimum of three (3) months in order to temporarily cease billing. I understand I must contact the Utility Billing Office at least one (1) week in advance to have services suspended. If I opt to have the City of Monroe turn my water off/on at the main valve, I realize I will be charged a trip charge of $35 each direction. In certain circumstances, the City of Monroe may not be able to turn water service off at the street valve. I understand it is my responsibility to turn water service off at the main valve inside the home in order to prevent water leaks and water damage. The City of Monroe shall not be responsible for compensatory damages due to water leakage in the home during my absence. I understand I am responsible for the monthly sewer flat charge and the trip charges and I will be billed for them upon my return.

  3. 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.

  4. Office Use Only

  5. Account Number

  6. Date

  7. Leave This Blank:

  8. This field is not part of the form submission.