Utility Activation Tool

Utility Activation Form

This form can only be submitted electronically. Upon submission, you will receive a confirmation email to the notification email address that you designate below. Please check your spam settings to ensure that you receive the submission confirmation. Allow 2 business days for processing. Your request cannot be processed until your contract is executed.

*Please Allow 2 Business Days For Processing

Utility activations cannot be approved until contract execution.

Date*

Date

HUD Case #*

Property Street Address*

City*

State*

Zip Code*

County*

Buyer's Information

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

Agent's Information

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Street Address*

City*

State*

Zip Code*

E-mail*

Broker*

Broker Office Number*

Area CodePhone Number

Activation Period And Preparation Of The Property For Utilities Test

It is the responsibility of the Buyer’s Agent to have the property prepared (i.e. De-Winterized) for utility activation, including the coordination of activities with the utility providers and your inspectors/appraisers. Once Turn ON/OFF dates have been determined, please provide them in the area below. Do not have any utilities activated or services completed until you receive permission to perform these tasks. Utilities may be activated for a maximum of 72 hours excluding weekends and all federal holidays. All fees associated with activating any utility, including but not limited to, inspections, permits, deposits, service fees, and/or applications fees required by a utility provider are the responsibility of the buyer. BLM does not coordinate any dates or facilitate any payments to any provider.

Turn On Date Must Be At Least 3 Business Days From Form Submission

Turn On Date (Must be at least 3 Business Days from Now)*

Date

Turn Off Date (Cannot be more than 4 business days after Turn On Date)*

Date

Re-Winterization Date (Must be the Same as Turnoff Date)*

Date

Email Address for Notification*

Please specify which utilities you need activated*

Agreement

The Buyer and the Buyer’s Agent must acknowledge the following statements and agree unconditionally that:

(1) The undersigned shall forever hold harmless the Unitied States Department of Housing and Urban Development and BLM Companies, LLC. from any and all liability, damages and/or claims from the like, rather directly or indirectly, which may arise from the use of this form and/or the activation, connection and/or de- activation of any utility regardless of its origin or nature.

(2) Utilities are defined as Water, Gas, Electric, and/or any other service, material, item or product required to operate and/or test any system and/or item on the above identified property.

(3) The undersigned will assume full financial responsibility for any/all damages which may occur as a result of any actions and agrees to pay for the remediation and/or correction of any and all damages caused during the time the utilities are activated or de-activated.

(4) The purchaser is responsible for any and all costs associated with the turning on and or off.

(5) It is the responsibility of the undersigned to ensure that the electric remains on in properties which have sump pumps when all testing is completed and they will be held liable for any/ all damages that may arise from electric not being maintained as a result of this utility activation request.

(6) All utilities are to be turned on in the name of the purchaser and at the purchaser’s expense.

Please Note:

“By typing your name on the signature line, you acknowledge that you are submitting this as an electronic signature. Your signature states that you accept the terms of the agreement listed above. * Please note BLM Companies requires 2 business days (including today) to process your request form. For example, if you submit your request form on a Monday, your requested activation date cannot be sooner than Wednesday..”

Buyer’s Signature*

Agent's Signature*

Date*

Date