Who should complete the paperless utility billing authorization?

LaGrange utility customers who want to receive their monthly utility bill by email can complete the form. A separate authorization is required for each utility account.

How do I submit the paperless utility billing authorization?

Print clearly, then return the completed form to 301 Liberty Street or email it to Utilities@villageoflagrangeohio.gov. Submit a separate authorization for each utility account.

Do I need a notary for the paperless utility billing authorization?

No. The form is signed and dated without a notary, and it does not identify any sworn or notarized attachment.

LaGrange, OH · Lorain County

No notary required

Authorization for Paperless Utility Billing

LaGrange utility customers use this form to authorize the Village to email their monthly utility bill instead of sending a paper bill.

What this form is

Use this form when you want the Village of Lagrange Water Department to email your monthly utility bill. Each utility account requires a separate authorization. The form asks for the customer’s name, email address, phone number, utility account number, and service address, and includes an authorization and acknowledgment for the customer to sign and date.

Who needs it

LaGrange utility customers who want to receive monthly bills by email should complete a separate authorization for each utility account.

How to submit it

Print clearly and return the completed form to 301 Liberty Street or email it to [email protected]. Each utility account requires its own authorization form.

About notarization

This authorization is signed and dated without a notary; the form does not identify any sworn or notarized attachment.

How to submit this form

1
Download The Form
Download the Authorization for Paperless Utility Billing form.
2
Complete The Form
Print clearly and enter the customer name, email address, phone number, utility account number, and service address.
3
Sign And Date
Sign and date the authorization. Complete a separate form for each utility account.
4
Submit To The Village
Return the completed form to 301 Liberty Street or email it to [email protected].

Frequently asked questions

Who should complete the paperless utility billing authorization?: LaGrange utility customers who want to receive their monthly utility bill by email can complete the form. A separate authorization is required for each utility account.
What information does the form ask for?: The form asks for the customer name, email address, phone number, utility account number, and service address. The customer also signs and dates the authorization.
How do I submit the paperless utility billing authorization?: Print clearly, then return the completed form to 301 Liberty Street or email it to [email protected]. Submit a separate authorization for each utility account.
Do I need a notary for the paperless utility billing authorization?: No. The form is signed and dated without a notary, and it does not identify any sworn or notarized attachment.

Need something notarized?

This Authorization for Paperless Utility Billing doesn’t need a notary — but if you have another LaGrange form that does, a commissioned online notary can help.