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Application for Residential Utility Service

  1. City of Woodland Park Application for Residential Utility Service

    220 West South Ave | P.O. Box 5830 | Woodland Park, CO 80866 | 719-686-9680

    Please fill out the form in it's entirety. If you have any questions, please contact our Utility Billing Technician 719-686-9680.

  2. Please answer "Yes" or "No"

  3. Please list the name and number of each person separated by a comma.

  4. Consumer Responsibility

    Payment: The applicant agrees to pay monthly for the utility services rendered by the City of Woodland Park. Charges for service will be made at the regular established rates for the class of service applicable to the applicant.

     Delinquency: Payment for services is due within 20 days of the billing date and shall become delinquent if not paid by the due date reflected on such billing. A penalty of 10% of the unpaid balance will be added to delinquent accounts. The applicant agrees to pay reasonable expenses of collection including attorney’s fees and court costs should it become necessary to use such measures to collect the charges made to the applicant’s account. 

    Disconnect: The City shall terminate service on delinquent accounts not paid after notice. In order to restore service the customer must bring current all delinquent charges. In addition, the City will charge a reconnection fee. 

    Security Deposit: The applicant is required to pay a deposit if they are not the owners of the property served. The applicant agrees that the deposit is not considered as the prepayment of any bill. Unpaid accounts will be considered delinquent notwithstanding the existence of a security deposit. The City may apply the amount of the security deposit to the final bill of the customer and any balance remaining will be refunded to the customer. 

    Reasonable Access: The applicant shall permit the City’s authorized representatives to enter on the customer’s premises at all reasonable times for purposes connected with rendering, billing, or disconnecting utility services.

     Termination of Service: The applicant agrees to be responsible for the payment of utility charges incurred at these premises until their responsibility is terminated in one of the following ways: 

    1. By mutual agreement evidenced in writing and signed by the City and the applicant. 

    2. By a two day written notice to have service disconnected and the City physically terminating the service. 

    3. By a two day verbal notice requesting to have service disconnected. 

    The applicant warrants that all the information provided by them in this application is true and correct and understands that false or misleading information shall be cause for the City to deny or cancel service and demand immediate payment of any amounts which are due. 

  5. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) you have read the Consumer Responsibility Agreement in full, and 2) agree to the terms of the Consumer Responsibility Agreement

  6. Utility Liability Authorization

    To: Woodland Park Utilities Please accept this as my authorization for the City of Woodland Park to turn the water on/off at my residence (listed on this application) at my request. This relieves the City of Woodland Park of any responsibility for damages inside or outside my residence due the water being turned on/off while no one is present at the residence. 

  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. Authorization of Automatic Bank / Debit / Credit Charge

    For your convenience the City of Woodland Park offers two forms of automatic monthly bill payments:

    1. Automatic bank withdrawal from your checking or savings account

    2. Automatic monthly charge to your Visa or MasterCard

    Please fill out and sign the application below to start your preference for automatic monthly payments. 

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  10. This field is not part of the form submission.