Utility Service Application and Agreement Sign up for service with the City of Lavon utilities. Step 1 of 5 20% Type* Rent/Lease Own Name of Landlord (rent/lease)* Landlord Phone (rent/lease)*Service Start Date* MM slash DD slash YYYY Property Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant Name* First Last Date of Birth* MM slash DD slash YYYY Primary Phone*Secondary PhoneEmail Employer Name* Driver's License Number* Upload Drivers License*Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 5 MB.Co-Applicant Name First Last Date of Birth MM slash DD slash YYYY Primary PhoneSecondary PhoneEmail Employer Name Driver's License Number Upload Drivers LicenseMax. file size: 400 MB. Would you like an extra trash or recycle can added to your account (additional fees apply)? Yes, add an additional trash can to my account Yes, add an additional recycle can to my account There is an additional fee for extra trash cans which will be added to your monthly bill.Have you had service within the city before?* Yes No If Yes - Name First Last If Yes - Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code The city of Lavon provides Trash and Sewer services. Because we are a government entity, all of our records, including utility records, are available for public inspection. The Texas legislature has passed a law which allows you to keep your utility records confidential. If you indicate below that you want your information kept confidential, we will not release any personal information concerning your account to any person unless they are specifically authorized by law to obtain that information.Would you like to sign up for paperless billing?* Yes No - I would like paper billing Both - I would like email and paper billing Would you like to setup auto draft? Download form - This will open a new page with the form so you can print it and come back to this page/tab to finish your application.Confidentiality Of Account I hereby waive confidentiality on my account Consent* I agree to the followingThe undersigned (Customer) hereby makes application for and agrees to take from the City of Lavon the services covered by this application at the address given above. The customer agrees to pay their monthly bill on or before the 10th day of the month following the bill date. The customer understands the administration fee is non-refundable. The City shall not be obligated under this agreement to furnish any service of a type or character not available from the existing lines or facilities of the City. The City makes reasonable provisions to ensure satisfactory and continuous service, but it does not guarantee continuous service. This application and agreement is subject to all City Ordinances and Regulations covering the services mentioned, and that such Ordinances and Regulations are a part of this agreement. The City has the authority to disconnect City utility services due to non-payment. You agree that the one filling out this application is the person on the submitted license and agree to the above terms. Your electronic signature is your agreement by checking the box.Non-Refundable Account Creation Admin Fee - Required Prior to Account SetupTrash Only Residents only pay the admin fee one time unless the resident owns multiple properties then the admin fee must be paid per property address.Admin Fee DuePay $100 if you require trash and city sewer service or pay $50 if you require only trash service because you have a septic system at your property. The confirmation page will allow you to pay online.
