Landlord Property Agreement

If you would like to enroll in the Landlord Property Agreement Program, please complete the form below and a customer service representative will contact you.

Landlord Name *

First

Last

Last 4 SSN *

DBA (if applicable)

EIN

Please enter your Employer Identification Number if available

Phone *

Email *

Additional Contact Person (Optional)

First

Last

Address Phone to

Additional Contact Phone Number

Landlord's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please choose 1 (one) of the following options:

READING OF THE METER BY REQUEST

I accept

I hereby authorize Erwin Utilities to place utilities back into my name at the following location(s) when I contact Erwin Utilities and request the service connection.

AUTOMATIC READING OF THE METER

I accept

I hereby authorize Erwin Utilities to automatically place utilities back into my name at the following location(s) when a tenant requests to service service disconnected. I acknowledge that the utilities will not remain on if they are disconnected for non-payment of utility service.

Rental Property Address(es):

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Upload Drivers License or Government-Issued ID *

Drag & Drop Files, Choose Files to Upload

Valid files: pdf, jpg, gif, png, jpeg, heic File must be smaller than 18MB.

Proof of Ownership *

Drag & Drop Files, Choose Files to Upload

Please upload proof of ownership i.e. deed, tax record, etc.

Would you like to enroll in automated landlord notification(s)?

Landlord Notification Agreement *

I hereby authorize Erwin Utilities to notify me by means of email or EUConnect when utilities are disconnected or transferred back into my name.

Landlord Agreement Acknowledgement *

I acknowledge that I am responsible for all utility charges incurred while an account is in my name. I acknowledge that it is my responsibility to notify Erwin Utilities and to void this agreement if a property covered under this authorization is sold. If I fail to take such action, I acknowledge that I will be responsible for all utility charges incurred if the service transfers back into my name after the property is sold.

Erwin Utilities' Electronic Signature Agreement *

I accept

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third-party verification is necessary to validate your E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Erwin Utilities. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement. You further agree that each use of your E-Signature in obtaining an account with Erwin Utilities constitutes your agreement to be bound by the terms and conditions of Erwin Utilities' Terms of Service and Privacy Policy as they exist on the date of your E-Signature.

Applicant Signature *

Please check "I Accept" and type your full legal name below to complete your request. By signing this form, you agree to all terms and conditions as outlined in this application.