Paperless Billing Request Form

Use this form to have your utility account switched to paperless billing.

You may complete this form online or you may download the pdf of the form and submit it to the Utility Department for processing.

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NAME: *

PHONE: *

STREET/MAILING ADDRESS: *

CITY, STATE, ZIP: *

EMAIL ADDRESS: *

DATE OF REQUEST:

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CONFIRMATION: *

Confirm Request

By clicking here and signing below, I am electing to receive my City of Burnet utility bill via e-mail only and will no longer receive a paper copy in the mail.

SIGNATURE: *

Please type your first and last names here. By typing my name on this form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Supporting Documents

Paperless Billing Request Form (154 KB)

Paperless Billing Request Form

Supporting Documents

Contact Information