Healdsburg, CA · Sonoma County

No notary required

Elección de la Tarifa Eléctrica Verde

Healdsburg utility account holders use this application to enroll in the city’s Green Rate and support renewable energy matched to their monthly electricity use.

What this form is

This application lets a Healdsburg utility customer enroll in the Green Rate, under which the city purchases renewable energy to match the customer’s monthly electricity consumption. It asks for the account number, account holder’s name, service address, signature, and date. By signing, the customer accepts the listed rate terms and certifies the application information is true and correct under penalty of perjury.

Who needs it

A Healdsburg utility account holder who wants the city to match their monthly electricity use with renewable energy through the Green Rate should complete this application.

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 document is signed without a notary; the signer signs and dates it and certifies the information is true and correct under penalty of perjury.

How to submit this form

  1. 1

    Download The Application

    Download the Green Rate application for Healdsburg utility customers.

  2. 2

    Complete The Account Details

    Enter the account number, account holder’s name, and service address.

  3. 3

    Review And Sign

    Review the Green Rate terms, then sign and date the application.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Healdsburg Green Rate application do?
It lets a utility account holder enroll in a rate where the city purchases renewable energy to match the customer’s monthly electricity consumption.
What information does the application ask for?
The form asks for the utility account number, account holder’s name, service address, signature, and date.
Do I need a notary for the Green Rate application?
No. The signer signs and dates the application and certifies the information is true and correct under penalty of perjury; the form has no notary block.
How do I submit the Green Rate application?
The form does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Elección de la Tarifa Eléctrica Verde doesn’t need a notary — but if you have another Healdsburg form that does, a commissioned online notary can help.