Riverton, IL · Sangamon County

No notary required

Utility Bill Level Pay Plan Application

Residential utility customers use this application to request enrollment in Riverton’s Level Pay Plan for equal monthly utility payments.

What this form is

This application lets eligible residential customers request enrollment in the Village of Riverton’s Level Pay Plan, which sets equal monthly payments based on the previous 12 months of charges. The document explains eligibility, payment calculations, adjustments, and reasons participation can end. Applicants provide their account number, name, address, phone numbers, and signature agreeing to the plan’s terms.

Who needs it

Residential utility customers with at least 12 months of service and a clear payment history may apply for the Level Pay Plan.

How to submit it

Return the completed application to the Village of Riverton by July 26; the document lists the Utility Office phone number for questions but gives no submission address.

About notarization

This application is signed and dated without a notary; it includes no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download the Application

    Download the Level Pay Plan application PDF.

  2. 2

    Complete the Application

    Enter your account number, name, address, and phone numbers, and review the plan terms.

  3. 3

    Sign the Application

    Sign to agree to the ordinances pertaining to the Level Pay Plan.

  4. 4

    Return It to the Village

    Return the completed application to the Village of Riverton by July 26.

Frequently asked questions

Who can apply for the Level Pay Plan?
Residential customers must have had utility service from the Village of Riverton for at least 12 months and have a clear payment history, with no late notices, returned checks, or disconnections for unpaid bills.
Do I need a notary for the Level Pay Plan application?
No. The application is signed and dated without a notary, and it includes no notarized or sworn attachment or related step.
How do I submit the Level Pay Plan application?
Complete and sign the application, then return it to the Village of Riverton by July 26. The document lists the Utility Office phone number, (217) 629-9122, for questions but does not give a submission address.
What information does the application request?
It asks for the customer account number, name, address, home and work phone numbers, and a signature agreeing to the Level Pay Plan terms.

Need something notarized?

This Utility Bill Level Pay Plan Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.