Grass Valley, CA · Nevada County
Secondary Account Holder Consent Form
This form lets a property owner add a secondary account holder to a water or sewer account, with the secondary account holder and owner completing separate sections.
What this form is
The form adds a Secondary Account Holder to a property’s water and/or sewer account for billing purposes. The secondary account holder completes Part A, and the property owner completes Part B, initials each consent term, and signs. It asks for service, contact, mailing, and account details, and explains the owner’s continuing responsibility for service costs.
Who needs it
A property owner and the person they want to add as a Secondary Account Holder complete this form to add that person to the property’s water or sewer account.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed without a notary; the secondary account holder and property owner each sign and date it, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Form
Download the Secondary Account Holder Consent Form.
- 2
Complete Part A
The secondary account holder fills in the requested details and signs and dates Part A.
- 3
Complete Part B
The property owner fills in the requested details, initials each consent term, and signs and dates Part B.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who completes the Secondary Account Holder Consent Form?
- The secondary account holder completes and signs Part A. The property owner completes Part B, initials each consent term, and signs.
- What information does the form request?
- It requests the service address, effective date, names, contact and mailing details, account number, and the secondary account holder’s type.
- How do I submit the Secondary Account Holder Consent Form?
- The form does not specify how to submit it. Submit it to the city department named on the form; check the city website for current contact details.
- Do I need a notary for the Secondary Account Holder Consent Form?
- No. The secondary account holder and property owner sign and date the form; it lists no notarized attachment or sworn step.
Need something notarized?
This Secondary Account Holder Consent Form doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.