Chazy, NY · Clinton County
Electronic Billing Authorization Form
Chazy account holders use this form to authorize emailed quarterly water and/or sewer bills instead of receiving paper statements.
What this form is
This form authorizes the Town of Chazy Water Department to email quarterly water and/or sewer bills instead of mailing paper statements. Account holders provide their account and contact details, identify themselves as an owner or tenant, and sign the authorization. A tenant may request E-Bills only if the owner has already confirmed that the tenant receives a water bill.
Who needs it
Town of Chazy water or sewer account holders who want to receive quarterly bills by email instead of by mail should complete this form.
How to submit it
Drop off the completed form at Town Hall, fax it to (518) 846-8981, or scan and email it to [email protected].
About notarization
This form does not require a notary; the signer simply signs and dates the authorization.
How to submit this form
- 1
Download The Form
Download the Electronic Billing Authorization Form.
- 2
Complete The Form
Enter the account number, name, property address, phone number, and email address; identify yourself as owner or tenant.
- 3
Sign And Date
Sign and date the authorization. The form lists no attachments to gather.
- 4
Submit The Form
Drop it off at Town Hall, fax it to (518) 846-8981, or scan and email it to [email protected].
Frequently asked questions
- Do I need a notary for the Electronic Billing Authorization Form?
- No. This form does not require notarization; the signer simply signs and dates the authorization.
- How do I submit the Electronic Billing Authorization Form?
- Drop it off at Town Hall, fax it to (518) 846-8981, or scan and email it to [email protected].
- What does this form authorize?
- It authorizes the Town of Chazy Water Department to email quarterly water and/or sewer bills for the listed account. You will no longer receive a mailed paper statement.
- Can a tenant request E-Bills?
- Yes, if the owner has already confirmed that the tenant receives a water bill. The tenant can then complete and sign the authorization.
Need something notarized?
This Electronic Billing Authorization Form doesn’t need a notary — but if you have another Chazy form that does, a commissioned online notary can help.