Layton City Utility Service Application

Are you the Owner of this property?

Owner

Renter

Accounts are required to be in the Owner's name. [NO TENANT ACCOUNTS ALLOWED]
Please contact your landlord/owner to fill out the application.

Accounts are required to be in the homeowner's name. [no tenant accounts allowed]
PROOF OF OWNERSHIP REQUIRED [Email proof of ownership to UtilityApplications@laytoncity.org]

Type of Location

Business Name

First Name

Last Name

Additional Applicant

Phone

Social Security # (last 4) or Tax ID

Property Address

Is this new construction?

Yes

Subdivision

Lot

Check if Property has an HOA (Home Owners Association)

Name of the HOA

Check if you have had Layton Utilities in your name before.

Previous Address

Continue Auto-Pay on new account

E-Statements
(By clicking Yes, you will not receive a paper copy of your bill.)

Service Start Date

This field is required.

1^st garbage can is $13.65 a month, each additional can is $10.95 per month per can
with a minimum 6 month commitment

Green Garbage cans currently at location:

Additional cans needed:

Cans needed to be removed:

Garbage cans to be billed for:

1^st recycling can is $7.50 a month, each additional can is $7.50 per month per can
[a minimum 6 month commitment for recycling cans]

Blue Recycling cans currently at location:

Additional cans needed:

Cans needed to be removed:

Recycling cans to be billed for:

Mailing Address if different than Property Address

Mailing Address

City

State

Zip

Emergency Contact

Contact Name

Contact Phone

Questions/Comments

LATE PAYMENTS & FEES:

* $10 Fee for returned checks/payments

* $50 Fee to reconnect any meter

* $5 Fee for payments made after due date

PAYMENT ARRANGEMENTS

If you are unable to pay your bill in full by the due date, payment arrangements are available. A payment arrangement will allow you to avoid shutoff and the $50 processing fee. You will need to contact the office at 801-336-3860, opt. 1, to set up an arrangement before the shut off date. If bills are not paid in full by the due date (the 5th of every month) your service is subject to be disconnected at the end of month.

By checking this box, I am signifying that the name provided at the top of this page is my electronic signature and I have read and agree with the following disclaimer:

I hereby apply for Layton City utility services, and agree to abide by all pertinent ordinances and regulations of the City. I further agree to pay, when, due, the established charges for such services. I agree that the City may shut off the water for failure to pay for the charges when due, and that if turn off is made, all arrears for service, including turn off and turn on charges, shall be paid in full before service is restored. I understand that, in addition to the above, the City may assess interest on the unpaid balance and/or penalty fee, which I will be responsible for paying, in addition to the other charges indicated above. In the event action is required to enforce this agreement, I agree to pay all costs including late fees, collection costs and reasonable attorney's fees.