Forms

All forms are listed by category alphabetically.

Budget Billing Plan

• Budget Billing Application

 City of Holland Claims

• Claim Form

Contact Form

• Feedback Form

Customer Information

• Update Your Account Information at MyHBPW

Economic Development

• Economic Development Incentive Rate Application

Rebate and Energy Conservation Forms

• Distributed Generation - Application for Interconnect Evaluation

• Elective Renewable Energy

• Home Energy Use Calculator

• New Home Construction Energy Smart Rebate Application

• Residential Energy Smart Rebate Application

• Programa de Eficiencia Energética Residencial

• Business Energy Smart Rebate Application

• Residential EV Charger Rebate Application

• Commercial EV Charger Rebate Application

FOIA

• Freedom of Information Act Request Form

• FOIA Itemization

• FOIA Appeal of Denial of Records

• FOIA Appeal of Excessive Fee

• FOIA Summary

• FOIA Procedures and Guidelines

• FOIA Expense Summary

Landlord Forms

• Affidavit of Lease

• Authorization to Not Disconnect Utilities

Medical Alert

• Medical Emergency Alert Form

Payment Forms

• Direct Payment Enrollment Form 

• Direct Payment Authorization Form

Rate and Fee Forms

• Fee Schedule

• Rate Change Authorization Form

• EV TOU Rate Change Request Form

• Terms and Conditions of Service

Report Fraud and Financial Misuse

• Fraud & Financial Misuse Prevention Form

• Fraud and Financial Misuse Policy

Streetlights

• Report a Problem with a Streetlight

Tax Forms

• Michigan Sales Tax Exemption Form

Utility Service Forms

• New Water or Wastewater Service Application

• New Electric Service / Service Upgrades Application

• Termination of Service Request Form

• Hydrant Meter/Backflow Preventer Rental Form

• Security Lighting Application

• Water Service Line Replacement Agreement 

Wastewater

• Non-Domestic Users Survey Form

• Sewage Disposal System Claim Form