Lompoc, CA · Santa Barbara County
Single or Recurring Donation Form
Lompoc residents use this form to make a one-time donation or request monthly donations to local organizations through their utility bill.
What this form is
This form lets Lompoc residents choose organizations to receive donations and select either a single gift or a recurring monthly amount. For recurring donations, the city adds the selected amount to the monthly utility bill. The form asks for contact and utility account details, the donor’s signature and date, and the selected organizations and donation amounts.
Who needs it
Lompoc residents who want to make a single donation or arrange recurring donations to the listed local organizations can complete this form.
How to submit it
Complete and sign the form, then submit it to the Utility Billing division at City Hall, 100 Civic Center Plaza, Lompoc, California 93436. The form lists telephone and fax numbers but does not give alternate submission instructions.
About notarization
This form is signed without a notary; it lists no sworn or notarized attachment, so the signer simply signs and dates it.
How to submit this form
- 1
Download The Form
Download the Single or Recurring Donation Form.
- 2
Complete The Form
Enter your contact details and, for recurring donations, your utility account number. Select organizations and donation amounts.
- 3
Sign And Date
Sign and date the form. The document lists no attachments to gather.
- 4
Submit To Utility Billing
Submit the completed form to the Utility Billing division at City Hall, 100 Civic Center Plaza, Lompoc, California 93436.
Frequently asked questions
- Do I need a notary for the Single or Recurring Donation Form?
- No. The form is signed without a notary and lists no sworn or notarized attachment; the signer simply signs and dates it.
- How do I submit the donation form?
- Complete and sign the form, then submit it to the Utility Billing division at City Hall, 100 Civic Center Plaza, Lompoc, California 93436.
- Can I make a one-time donation?
- Yes. The form says to select “Other,” enter an amount, and circle “single donation” to make a one-time gift.
- How are recurring donations handled?
- Recurring donations are added to the donor’s monthly utility bill, and the form says donations are forwarded to the selected agency or agencies.