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In the event a refund is due from a final bill, please be sure to include accurate forwarding and contact information. If you have any questions, please email firstname.lastname@example.org
Enter your closing date or lease agreement. We cannot go back in time to get a final read. Please allow one business day for us to obtain a final read.
If different from service address
By checking this box, you agree to have your utility bills sent to your email account and will no longer receive a paper bill.
If you are a tenant, please fill out the information below.
Include Suite/Apt/Unit number
That this electronic signature is the legally binding equivalent to my handwritten signature and has the same validity and meaning. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
I acknowledge that this constitutes written application for utility service or termination of utility service at the address above, pursuant to the Geneva City Code, 9-1-1A. Further, I acknowledge that I agree to pay all charges for services rendered as a result of this request. I understand and agree that failure to pay any amount due to the City of Geneva can result in discontinuation of services until such time as payment has been received.
In compliance with Geneva City Code 9-1-1, I acknowledge that a service deposit is required at the time of application for utility service.
This field is not part of the form submission.
* indicates a required field