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Herriman City

info@herriman.org

5355 W Herriman Main Street, Herriman, UT, 84096, US

801-446-5323

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Renter's Release & Consent Form

Upon request, Herriman City will send a renter a copy of the utility bill via email only. The original utility bill will be sent to the owner (or property management company, when directed by the owner).

Name of Property Owner(s)



*Effective Date:

Please note: the City does not prorate a utility bill. We send a bill on the 10th day of each month for the prior month's services. The "effective date" determines which renters (outgoing or incoming) get the next bill. If you insert today's date, the next bill will be sent to the renter listed above. If you insert a date for after the 10th day of next month, the current (outgoing) renter will receive the next bill and the renter listed above will receive the next bill sent after that. Remember: we will for the prior months services. *This date is required to complete this request.

As the property owner listed above, I hereby request that Herriman City send a duplicate copy of the monthly utility bill to the renter.  I understand that as of June 1, 2015, Herriman City will only send a renter a copy of the utility bill via email.

  1. I understand that as legal owner (or agent of owner) of said property by making this request will in no way change the terms of my contract with Herriman City regarding my responsibility for the timely payment of my utility bill. (Herriman City gladly accepts utility payments from renters without question.)
  2. I understand that even though Herriman City currently provides this service, they are in no way obligated to continue to do so.
  3. I understand that it is the responsibility of my renter to sign up for E-bill in order to receive a copy.
  4. I understand that it is my responsibility to update the renter information whenever there is a change in renters.
  5. I understand that signing this form constitutes a "blanket agreement" that grants Herriman City permission to send a copy of the monthly utility bill to this renter and any future renter until I or my legal agent notifies the City otherwise in writing.

Signature of Owner or **Agent of Owner

Choose how to sign

Today's Date

**Herriman City will accept the signature of a legal representative of a property management company.