Click Next to go to OFFICE USE ONLY fields
Please Note:Eagle Mountain City will abate utility service fees for those with an active account in the deployed resident's name from the application date above (if after the commencement of the active duty deployment period) or from the commencement of active duty deployment status, until two (2) months following the ending date of the active duty deployed commitment period. This is subject to the receipt of a copy of the military personnel's official active duty deployment orders by the Utility Billing Department.
The amount of the utility service fees abatement will be $25.00 of the total monthly utility bill. Eagle Mountain City may discontinue this abatement at any time and for any reason.
I blanks* , certify that myself or my spouse has received active duty deployment orders by an official branch of the United States military and have provided a copy of the official orders received as verification of active duty deployment status. I further certify that myself and/or my spouse are the responsible parties for the utility service at the address shown on this form and that the copy of official orders submitted has been properly executed and is genuine. I also agree to notify Eagle Mountain City immediately following any change in orders or assignment that could affect this agreement.