Middlefield, OH · Geauga County
Robocall Telephone & Email Authorization Form
Middlefield residents use this form to consent to automated Village telephone calls and emails and provide their household contact information.
What this form is
This form lets residents consent to automated or prerecorded telephone calls and emails from or on behalf of the Village of Middlefield. It asks for a primary telephone number, service address, resident signature, email address, and printed name; households may add more phone numbers or email addresses. The form says online registration is also available and that written revocation can be sent to the Village.
Who needs it
Middlefield residents who want to receive automated Village telephone calls or emails can complete the form with their contact information and consent.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed without a notary; the signer provides consent by signing it, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the Robocall Telephone & Email Authorization Form PDF.
- 2
Complete The Form
Provide your primary telephone number, service address, signature, email address, and printed name.
- 3
Add Household Contacts
Add any other household phone numbers or email addresses as needed; no attachments are mentioned.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Robocall Telephone & Email Authorization Form do?
- It records a resident’s consent to receive automated or prerecorded Village telephone calls and emails, along with household contact information.
- What information does the form ask for?
- It asks for a primary telephone number, service address, resident signature, email address, and printed name. Households may add more phone numbers or email addresses.
- Do I need a notary for the Robocall Telephone & Email Authorization Form?
- No. The signer provides consent by signing the form; no notarized or sworn attachment is mentioned.
- How do I submit the Robocall Telephone & Email Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details. The form also says online registration is available.
Need something notarized?
This Robocall Telephone & Email Authorization Form doesn’t need a notary — but if you have another Middlefield form that does, a commissioned online notary can help.