Lubbock, TX · Lubbock County
Authorization for Financial Responsibility
This form lets a Lubbock Utilities account holder and another person authorize shared financial responsibility for utility service at the account address.
What this form is
The authorization adds a named person as financially responsible for a City of Lubbock Utilities account and makes that person legally responsible for service at the property. The account holder and the financially responsible person each provide identifying and contact information and sign. The form explains their account rights and responsibilities, including bill payment, debt, access to account information, and service termination.
Who needs it
A City of Lubbock Utilities account holder and the person they want to add as financially responsible for the account should complete this authorization.
How to submit it
Print and sign the form, then mail it to City of Lubbock Utilities, PO Box 10541, Lubbock, TX 79408-3541.
About notarization
This authorization is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Authorization for Financial Responsibility.
- 2
Complete The Form
Enter the account holder's name, account number and address, and the financially responsible person's details.
- 3
Sign And Date
Both the account holder and the financially responsible person sign; complete the execution date.
- 4
Mail The Form
Mail the signed form to City of Lubbock Utilities, PO Box 10541, Lubbock, TX 79408-3541.
Frequently asked questions
- What does the Authorization for Financial Responsibility do?
- It allows an account holder to add another person as financially responsible for a City of Lubbock Utilities account and explains the rights and responsibilities they will share.
- Who signs this authorization?
- Both the account holder and the financially responsible person sign. Each provides identifying and contact details, including a Social Security number, driver license number, daytime phone number, and email.
- Do I need a notary for the Authorization for Financial Responsibility?
- No. The form calls for the account holder and financially responsible person to sign and date it; it does not identify an attachment or related step that must be notarized or sworn.
- How do I submit the Authorization for Financial Responsibility?
- Print and sign the form, then mail it to City of Lubbock Utilities, PO Box 10541, Lubbock, TX 79408-3541.
Need something notarized?
This Authorization for Financial Responsibility doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.