Lake Odessa, MI · Ionia County

No notary required

Water / Sewer E-Bill (Paperless) Authorization Form

Customers use this form to authorize the Village of Lake Odessa or Lakewood Wastewater Authority to deliver water or sewer bills by email instead of mail.

What this form is

This form authorizes the Village of Lake Odessa and/or Lakewood Wastewater Authority to send a customer’s water or sewer bill to an email address. Customers who register will no longer receive a paper bill by mail. The form asks for the customer’s name, account number, service address, phone number, email address, signature, and date.

Who needs it

Customers who want water or sewer bills delivered by email instead of receiving a paper copy in the mail should complete this form.

How to submit it

Email the completed form to [email protected] or [email protected] with the subject “E-Water Bill Authorization.” You may also mail it to 839 Fourth Ave., drop it in the Page Building drop box, or deliver it there in person.

About notarization

This form is signed and dated without a notary; the signer simply authorizes email bill delivery and provides no notarized or sworn attachment.

How to submit this form

  1. 1

    Download the Form

    Download the Water / Sewer E-Bill Authorization Form.

  2. 2

    Complete the Form

    Print clearly and provide your name, account number, service address, phone number, email address, signature, and date.

  3. 3

    Check for Attachments

    The form text does not specify any required attachments.

  4. 4

    Submit to the Village or LWA

    Email, mail, drop off, or deliver the completed form using the submission details on the form.

Frequently asked questions

Do I need a notary for the Water / Sewer E-Bill Authorization Form?
No. Sign and date the form; it does not call for a notary or a notarized attachment.
How do I submit the Water / Sewer E-Bill Authorization Form?
Email it to [email protected] or [email protected] with the subject “E-Water Bill Authorization,” mail it to 839 Fourth Ave., or drop it off at the Page Building.
What information does the authorization form ask for?
It asks for your name, account number, service address, phone number, email address, signature, and date.
Will I still receive a paper bill after registering?
The form states that customers who register for the service will no longer receive a paper copy of their bill in the mail.

Need something notarized?

This Water / Sewer E-Bill (Paperless) Authorization Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.