Form Center

2. Customer Name*

   (As Listed on Utility Bill)

4. Customer Account Number*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Customer Email Address*

    (Property Owner ONLY -- No Tenants)

    The City of Sycamore will neither use this email address for any purpose other than sending email utility bills, nor distribute the email address to any third party.

14. Agreement*

    I authorize the City of Sycamore to send the utility bill for the account listed above to the email address provided.  This authorization is to remain in effect until the City of Sycamore has received written notification from me of its termination in such time and in such manner as to afford the City of Sycamore reasonable opportunity in which to act.  I acknowledge that I am the owner of the property and I am liable for the timely payment of any bills.

    1. Yes, I agree.
16. Signature*

    (Property Owner ONLY -- No Tenants)

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field