Healdsburg, CA · Sonoma County
Utilities Guarantee of Payment
A homeowner guarantor completes this agreement to meet the utility deposit requirement when an applicant connects residential or commercial utility service.
What this form is
Use this agreement when the utility applicant chooses a guaranty of payment to meet the deposit requirement for connecting service. The guarantor must be a homeowner within Healdsburg city limits with an active City account for the last year and a timely payment history. The form asks for applicant and guarantor names, dates, addresses, and customer numbers, and promises payment of the applicant’s unpaid utility charges.
Who needs it
A utility applicant choosing a payment guaranty and a qualifying Healdsburg homeowner who agrees to guarantee the applicant’s unpaid utility charges need this form.
How to submit it
Submit it with the Utilities Residential or Commercial Connect application by email to [email protected], in person at City Hall, by fax, or by mail to City of Healdsburg Utility Billing, 401 Grove Street, Healdsburg, CA 95448.
About notarization
This document is signed without a notary; it has no notarized attachment or sworn step, and the guarantor signs and dates it.
How to submit this form
- 1
Download The Form
Download the Utilities Guarantee of Payment PDF.
- 2
Complete The Form
Enter the applicant and guarantor details, including dates, addresses, and customer numbers.
- 3
Gather The Connect Application
Include the Utilities Residential or Commercial Connect application.
- 4
Submit To The City
Send the form and connect application by email, in person at City Hall, by fax, or by mail to Utility Billing.
Frequently asked questions
- Who can act as guarantor?
- The guarantor must be a homeowner within Healdsburg city limits, have had an active account with the City for the last year, and have paid in a timely manner.
- How do I submit the Utilities Guarantee of Payment?
- Submit it with the Utilities Residential or Commercial Connect application by email, in person at City Hall, by fax, or by mail to the Utility Billing Department at 401 Grove Street.
- Do I need a notary for the Utilities Guarantee of Payment?
- No. This document has no notary block or notarized attachment or sworn step; the guarantor signs and dates it.
- What does the guarantor agree to pay?
- The guarantor promises to pay utility-service sums the applicant leaves unpaid. The form states that those unpaid sums may be applied to the guarantor’s utility bill without prior notice.
Need something notarized?
This Utilities Guarantee of Payment doesn’t need a notary — but if you have another Healdsburg form that does, a commissioned online notary can help.
