City of Holland Claims

• Claim Form

Contact Form

• Contact Us

Customer Information

• Log In to MyHPBW to Update Your Account Information

Energy Conservation Forms

• Distributed Generation - Application for Interconnect Evaluation
• Elective Renewable Energy
• Home Energy Use Calculator
• pdf Energy Smart Rebate Application - New Home Construction (3.23 MB)
• pdf Energy Smart Rebate Application - Residential (399 KB)
• pdf Energy Smart Rebate Application - Business (1.13 MB)

FOIA

• pdf Freedom of Information Act Request Form (263 KB)
• pdf FOIA Summary (210 KB)
• pdf FOIA Procedures and Guidelines (231 KB)
• pdf FOIA Expense Summary (135 KB)

Landlord Forms

• pdf Affidavit of Lease (49 KB)
• pdf Authorization to Not Disconnect Utilities (72 KB)

Medical Alert

•   pdf Medical Emergency Alert Form (118 KB)

Payment Forms

• Direct Payment Enrollment Form 
• pdf Direct Payment Authorization Form - PDF Download (149 KB)

Rate and Fee Forms

• pdf Fee Schedule (100 KB)
• Rate Change Authorization Form
• Terms and Conditions of Service

Report Fraud and Financial Misuse

• pdf Fraud & Financial Misuse Prevention Form (734 KB)
• pdf Fraud and Financial Misuse Policy (318 KB)

Tax Forms

• pdf Michigan Sales Tax Exemption Form (33 KB)

Utility Service Forms

• New Water or Wastewater Service Application Form
• Electric Service Application
• pdf Termination of Service Request Form (96 KB)
• pdf Hydrant Rental Form (223 KB) pdf (223 KB)
• pdf Security Lighting Application Form (1.34 MB)

Wastewater

• pdf Non-Domestic Users Survey Form (20 KB)
• pdf Sewage Disposal System Claim Form (19 KB)