Momence, IL · Kankakee County
Paperless Billing Authorization
Momence water and sewer customers use this form to authorize the city to email monthly water bills to their chosen email address.
What this form is
This form authorizes the City of Momence Water & Sewer Department to email a customer's monthly water bill. It asks for the account name and number, service address, email address, signature, and date. Customers agree to review bills for accuracy and update the city about changes to their contact information; not receiving a bill does not waive penalties or fees.
Who needs it
Momence water and sewer customers who want the city to email their monthly water bill should complete and submit this authorization.
How to submit it
Mail or drop off the signed form at City Hall, 105 W Washington Street, Momence, IL 60954. If emailing the completed form, include a digital signature.
About notarization
This document is signed without a notary; it asks the customer to sign and date the authorization, and lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Paperless Billing Authorization form.
- 2
Complete The Form
Enter your account name and number, service address, and email address, then sign and date the form.
- 3
Choose How To Send It
Mail or drop off the signed form at City Hall, or include a digital signature if you email it.
- 4
Submit To The City
Mail or drop off the form at City Hall, 105 W Washington Street, Momence, IL 60954.
Frequently asked questions
- Do I need a notary for the Paperless Billing Authorization?
- No. The form asks you to sign and date it; it does not require a notary or list any notarized or sworn attachment.
- How do I submit the Paperless Billing Authorization?
- Mail or drop off the signed form at City Hall, 105 W Washington Street, Momence, IL 60954. If emailing it, include a digital signature.
- What information does the form ask for?
- It asks for your account name and number, service address, email address, signature, and date.
- What do I agree to when I authorize email billing?
- You agree to review each monthly bill for accuracy and notify the city about changes to your mailing address, email address, or contact information.
Need something notarized?
This Paperless Billing Authorization doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.