Landlord Agreement and Fiber Authorization

Landlord Agreement and Fiber Authorization
Welcome to Spanish Fork City Utility Services

Spainish Fork City provides electric, water, pressurized irrigation, sewer, storm drain, garbage and recycle services-all conveniently located on one monthly utility bill. You may also choose our fiber internet, TV, and phone service, which can be included on the same monthly bill.

Before you begin:
- This application typically takes about 15 minutes to complete
- If you want to enroll in ACH autopay, please have your banking information available before starting
- A one-time $25 setup fee will be added to the first bill when the account is initially transferred back into the landlord's name
- Only individuals listed on this form may access account information
- Please call Enbridge Gas to set up natural gas service 1-800-323-5517
- If you need to edit information on a previous page, please use the GRAY BACK button on the form instead of your browser's back button

ACH Autopay
Would you like to enroll in ACH Autopay?
Financial Institution
Type of Account
Routing Number
This is specific to your bank and is always 9 digits
Account Number
ACH Autopay Authorization Agreement

I hereby authorize Spanish Fork City to initiate automatic withdrawals from my account at the financial institution listed below for the full balance due on my utility account each month. The withdrawal will occur on the utility bill due date, or on the next business day if the due date falls on a weekend or holiday.

I understand that I am responsible for paying a $20 returned payment fee for any payment that is returned to Spanish Fork City for any reason. If more than two payments are returned, I understand that I will be removed from ACH Autopay.

I agree not to hold Spanish Fork City responsible for any delay or loss of funds due to incorrect or incomplete information provided by me or my financial institution, or due to an error by my financial institution in processing the withdrawal.

I understand that this authorization will remain in effect until Spanish Fork City receives an updated ACH Autopay authorization form or I request in writing to be removed from ACH Autopay.

I further understand that if I make a payment using another method, it must be received by the 20th of the month. Otherwise, the scheduled ACH Autopay may still be processed on the due date, and I accept responsibility for any bank or credit union fees that may result.

This authorization is governed by the rules of the National Automated Clearing House Association (NACHA) and applicable state and federal laws governing electronic fund transfers.
Signature - ACH Autopay Authorization

Applicant Information
Customer Type
Applicant Name

First NameMiddle NameLast Name
Legal Name of Business
Business EIN (Last 4 of SSN if sole proprietorship
Would You Like to Add Someone as a Joint Applicant?
If you would you like anyone else (i.e. spouse, etc.) to be able to make inquiries & changes to your utility account you need to add them as a Joint Applicant.
Guarantor Name

First NameLast Name
Joint Applicant Name

First NameMiddle NameLast Name
Rental Property Addresses
Please list all addresses (including apt or unit number) that you want this agreement to apply to
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant Phone Number
Joint Applicant Phone Number
Guarantor Phone Number
Applicant E-mail
Joint Applicant Email
example@example.com
Guarantor Email
example@example.com
Applicant Birth Date (mm/dd/yyyy)
Joint Applicant - Birth Date (mm/dd/yyyy)
Applicant Last 4 of Social Security #
Joint Applicant Last 4 of Social Security #
Applicant Identification Type
If you do not have a United States Driver's License, State ID, or U.S. Passport, please stop filling out this form. Please call the utility office at 801-804-4500 for assistance.
Applicant Drivers License Number
Applicant State Issuing Drivers License
Applicant State ID Number
Applicant State Issuing ID
Applicant Passport Number
Applicant ID Expiration Date (mm/dd/yyyy)
Joint Applicant Identification Type
Joint Applicant Drivers License Number
Joint Applicant State Issuing Drivers License
Joint Applicant State ID Number
Joint Applicant State Issuing ID
Joint Applicant Passport Number
Joint Applicant ID Expiration Date (mm/dd/yyyy)

Agreement to Continue or Disconnect Service & Fiber Authorization
Would you like Utilities to be left on when your tenants terminate their utility account?
Landlord Agreement to Continue Service & Fiber Authorization

This Agreement is between Spanish Fork City and the undersigned Property Owner or Authorized Agent regarding utility services provided to the rental property address listed on this application.

If a tenant account is terminated or property is vacant, utility service will automatically transfer to the Property Owner’s utility account.

The Property Owner is responsible for all utility charges, including minimum service charges, until a new tenant establishes service or the Property Owner requests in writing that utilities be terminated.

If the Property Owner’s landlord account is past due, new tenants will not be allowed to establish utility service until the landlord account is brought current.

The Property Owner agrees to provide unobstructed access to all utility meters at all times.

The City may notify Property Owner of any disconnection of utilities at the premises or inquire with Property Owner whether the premisis have been vacated. Such notice may be necessary due to usage decline or account delinquency.

Utility bills and notices related to service transfers will be mailed to the Property Owner at the mailing address provided. The Property Owner is responsible for notifying the City of any address changes.

Late payments are subject to a 5% late fee. Returned payments will be charged the maximum amount allowed by law. If an account is sent to collections, the Property Owner agrees to pay all collection costs, including fees of up to 40% as permitted under Utah Code §12-1-11.

All utility services are subject to the ordinances and policies established by Spanish Fork City.

The Property Owner certifies that the information provided on this form is true and correct. Providing false information may be subject to penalties under Utah Code §76-8-504.

The Property Owner authorizes Spanish Fork City to install, maintain, repair, and remove fiber optic lines and related communications equipment necessary to provide internet, TV, and phone services to the property. The Property Owner grants reasonable access to the property for installation and maintenance of this equipment and understands that equipment may be installed on the interior or exterior of the Property.
Landlord Agreement to Disconnect Service & Fiber Authorization

This Agreement is between Spanish Fork City and the undersigned Property Owner or Authorized Agent regarding utility services provided to the rental property address listed on this application.

If a tenant account is terminated or property is vacant, utility service will automatically be disconnected.

The Property Owner is responsible for all disconnect and reconnect fees until a new tenant establishes service or the Property Owner requests in writing that utilities be reconnected.

If the Property Owner’s landlord account is past due, new tenants will not be allowed to establish utility service until the landlord account is brought current.

The Property Owner agrees to provide unobstructed access to all utility meters at all times.

The City may notify Property Owner of any disconnection of utilities at the premises or inquire with Property Owner whether the premisis have been vacated. Such notice may be necessary due to usage decline or account delinquency.

Utility bills and notices related to service transfers will be mailed to the Property Owner at the mailing address provided. The Property Owner is responsible for notifying the City of any address changes.

Late payments are subject to a 5% late fee. Returned payments will be charged the maximum amount allowed by law. If an account is sent to collections, the Property Owner agrees to pay all collection costs, including fees of up to 40% as permitted under Utah Code §12-1-11.

All utility services are subject to the ordinances and policies established by Spanish Fork City.

The Property Owner certifies that the information provided on this form is true and correct. Providing false information may be subject to penalties under Utah Code §76-8-504.

The Property Owner authorizes Spanish Fork City to install, maintain, repair, and remove fiber optic lines and related communications equipment necessary to provide internet, TV, and phone services to the property. The Property Owner grants reasonable access to the property for installation and maintenance of this equipment and understands that equipment may be installed on the interior or exterior of the Property.
Signature - Landlord Agreement Authorization

Utility and Communication Service Agreement
Spanish Fork City Utility and Communication Service Agreement

This Agreement is between Spanish Fork City and the undersigned Customer for the provision of municipal utility and communication services. Services may include electric, water, pressurized irrigation, sewer, storm drain, garbage, recycle, internet, television, and telephone.

Customer authorizes the City to provide utility and communication services to the service address listed on the application. All services are provided in accordance with Spanish Fork City ordinances, policies, and rate schedules as established by the Spanish Fork City Council and applicable state and federal regulations. Rates and policies may be amended by ordinance or resolution of the City Council.

Customer agrees to pay all charges associated with services provided by the City, including monthly service charges, installation charges, equipment fees or deposits, and applicable taxes or government surcharges. Payments are due according to the City’s billing policies. Failure to pay charges when due may result in late fees, service disconnection, or collection action as permitted by City policy and Utah law. Returned payments may be assessed a fee up to the maximum amount allowed by law. Customer agrees to pay all reasonable collection costs, court costs, and attorney’s fees incurred by the City in collecting unpaid balances.

The City may notify a landlord or Property Owner of any disconnection of utilities at the premises or inquire with Property Owner whether the premises have been vacated. Such notice may be necessary due to usage decline or account delinquency.

Customer grants the City and its authorized representatives reasonable access to the property for purposes including installation of utility or communications facilities, meter reading, maintenance, repair, upgrades, and removal or replacement of City equipment. Customer agrees not to obstruct or interfere with City equipment or infrastructure.

For communications services, the City may install wiring, fiber, network equipment, or related facilities necessary to provide service. Installation locations will be reasonably coordinated with the Customer. If the Customer requests relocation of installed equipment or wiring after installation, the Customer may be responsible for associated costs. Once installed, the City is not responsible for removing wiring or facilities if service is later terminated.

All equipment provided by the City or SFCN remains the property of Spanish Fork City. Customer agrees to protect equipment from damage, theft, or misuse and not to tamper with, alter, or repair City equipment. Customer may be charged the replacement cost of equipment that is lost, stolen, damaged, or not returned.

For telephone services, Customer must provide accurate service address information to allow proper E-911 emergency services registration. Customer acknowledges that telephone service, including 911 calling, may not function during power outages or internet disruptions and that service must be used at the registered service address for accurate emergency location information. Customer is responsible for providing accurate address information.

The City will make reasonable efforts to provide reliable service; however, service interruptions may occur due to equipment failures, maintenance activities, weather events, power outages, network disruptions, or other circumstances beyond the City’s control. The City will make reasonable efforts to restore service as quickly as practical.

Communications services provided through SFCN must be used only for lawful purposes. Customer may not resell services without written permission from the City or use services in a manner that interferes with the network or other users.

Services are provided on an “as available” basis. The City makes no warranties, express or implied, including warranties of merchantability or fitness for a particular purpose. The City’s liability for service interruptions is limited to a credit or refund for the period during which service was unavailable, if applicable. The City will not be liable for indirect, incidental, or consequential damages including lost profits or business losses.

Customer agrees to release and hold harmless Spanish Fork City from liability related to installation of utilities or communications equipment on the premises except in cases of gross negligence or willful misconduct by the City. The City is not responsible for failure to provide service when such failure is caused by events beyond its control including natural disasters, weather conditions, power failures, labor disputes, government actions, vandalism, or network damage.

Customer may not transfer or assign this Agreement without the City’s consent. This Agreement is governed by the laws of the State of Utah. If any provision of this Agreement is determined to be invalid or unenforceable, the remaining provisions will remain in full force and effect.
Signature Agreeing to Utility and Communication Service Agrreement

Previous Account with Spanish Fork City
Have you ever had a utility account with Spanish Fork City?
Important Account Policy

City policy requires that all prior accounts be paid in full before a new account can be set up.
- If your old account has a past due balance, the full account balance must be paid before services can be provided at your new location.
- If your account has been sent to collections, payment cannot be made through Spanish Fork City. The balance must be paid in full with the collection company before services can be provided at your new location
- To make payment on a prior account that has not been sent to collections, please visit Xpress Bill Pay or call 855-279-3197
Name & Address on previous account

Thank you for enrolling in ACH Autopay
Bills are mailed the first week of each month and due by the 25th of that month

Becuase you chose not to enroll in ACH Autopay, payment must be made manually each month

Please review Spanish Fork City's Privacy Policy Statement before submitting this form.

Spanish Fork City’s Privacy Policy Statement
Date and Initial:

_______________ Save New Application

_______________ Verify Signatures on Application

_______________ Payment History - LastName%FirstName

_______________ Setup in Caselle

_______________ Save to Final Destination

Notes:
Should be Empty:

Landlord Agreement and Fiber Authorization

ACH Autopay

Applicant Information

Agreement to Continue or Disconnect Service & Fiber Authorization

Utility and Communication Service Agreement

Previous Account with Spanish Fork City