Utility Application

Lindon City Utility Application

There is a $10 application fee required and will be added to your first Utility Bill. If you have any questions please call 801-785-5043 between 8:00 a.m. and 5:00 p.m. Monday through Friday. Welcome to Lindon City!!!
Applicant Name*

First NameLast Name
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Billing Address (Where you want your monthly bill sent)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Email*
example@example.com
Last 4 digits of Social Security Number or FEIN for Business Accounts*
Date of Birth*

MonthDayYear
Drivers License Number*
State that Issued the Drivers License*
Account Start Date*

MonthDayYear
Rental Property *

YesNo
Applicant is the *

Property OwnerTenant (Renter)Landlord
Lindon City Corporation Agreement by Owner for Automatic Reconnect

As owner of rental property listed below within Lindon City, I understand that the utility services will automatically stay connected during periods of vacancy.
I agree to pay for all water, pressurized irrigation, sewer, storm water and solid waste charges provided to the properties listed on this agreement while in my name. In the event of the service being disconnected for nonpayment while the service is in my name, all of my delinquent amounts are to be paid in full before service will be restored. Failure to comply will result in the immediate cancellation of this agreement.
I agree that I will not hold Lindon City Utilities liable for any damages incurred should Lindon City Utilities need to discontinue utilities during the course of routine collections. Lindon City Utilities will not notify me of the disconnection. I will notify Lindon City Utilities for the reconnection of services.
This authorization will be in effect immediately after receipt by Lindon City Utilities and will remain in effect until canceled in writing by I or by Lindon City Utilities.
Name*

First NameLast Name
Doing Business As (DBA)*
Business Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone*
Mobile Phone*
Home Phone
Alternate Phone
Rental Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Customer #
Date*

MonthDayYear
Date
How many garbage cans would you like? (Residential only) ($11.55 1st can/month; $9.90 each additional can/month)*

123N/A
(Residential only) Would you like a recycle can? ($5.00 per month)*

YesNoN/A (for Business only)
How many recycle cans would you like? (Residential only) ($5.00 each can/month)*

12N/A
Current Employer (For Residential Accounts Only) *
Employer Address (For Residential Accounts Only)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number (For Residential Accounts Only) *
Emergency Contact (not living with you)*

First NameLast Name
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Phone*
In the event of an emergency event, the City uses various means to communicate information quickly to residents. Possible methods include the City website, the City Facebook page, media outlets, and electronic notification right to your cell phone. You must register your phone number to recieve these electronic emergency notifications.

Click HERE to register to receive electronic emergency notifications from the City through the EverBridge notification system.
Application Date

MonthDayYear
Applicant Electronic Signature

First NameLast Name
By signing this form above, you agree to give your information to Lindon City.
Should be Empty:

Lindon City Utility Application

Lindon City Corporation Agreement by Owner for Automatic Reconnect