Utilities Forms

Application for Services
Complete this form to sign up for services

Refrigerator Rebate Form
Complete this form and send it to provided address to dispose of your old working refrigerator/freezer and receive a rebate.

ACH Agreement Form
Complete this form and return to the Village Office if you would like your monthly utility bill automatically debited form you bank account.

Appliance Rebate Form
Complete this form and send it to address provided on form for a rebate on select household appliances.