Utilities Forms

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