Louisville, NY · St. Lawrence County

No notary required

Electronic Paperless Billing (E-Bill) Authorization Form

This form lets Town of Louisville water account holders authorize electronic water bills and related account communications instead of paper bills.

What this form is

Water account holders use this form to authorize the Town of Louisville to send bills and other account communications to an email address. By consenting, the signer agrees that electronic bills are the sole notice of charges due, paper bills will stop, and non-receipt does not change the obligation to pay on time. The form requests account and contact details, a signature, and the date.

Who needs it

A Town of Louisville water account holder who wants to receive water bills and related account communications electronically should complete this form.

How to submit it

Submit the completed form in person, by mail, or via the payment drop box at 14810 State Highway 37, Massena, NY 13662, or email it to [email protected].

About notarization

This form is signed and dated without a notary; it does not mention a notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Electronic Paperless Billing (E-Bill) Authorization Form.

  2. 2

    Complete The Form

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

  3. 3

    Check Your Email Settings

    Add [email protected] to your approved sender list so the bill can reach your inbox.

  4. 4

    Submit To The Town

    Submit in person, by mail, or via the payment drop box at 14810 State Highway 37, Massena, NY 13662, or email [email protected].

Frequently asked questions

Do I need a notary for the E-Bill Authorization Form?
No. This form is signed and dated without a notary, and it does not mention a notarized or sworn attachment or related step.
How do I submit the E-Bill Authorization Form?
Submit it in person, by mail, or via the payment drop box at 14810 State Highway 37, Massena, NY 13662, or email it to [email protected].
What happens after I authorize electronic billing?
Once processed, the Town of Louisville will send your water bill electronically, and you will no longer receive a paper bill in the mail.
What information does the form ask for?
It asks for the date, account number, name on the account, service address, email address, phone number, and signature.

Need something notarized?

This Electronic Paperless Billing (E-Bill) Authorization Form doesn’t need a notary — but if you have another Louisville form that does, a commissioned online notary can help.