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

EmPOWER Donation Program

• EmPOWER Donation Enrollment Form

Rebate and Energy Conservation Forms

• Distributed Generation - Application for Interconnect Evaluation

• Elective Renewable Energy
• Residential Energy Smart Rebate Application
• Programa de Eficiencia Energética Residencial
• Business Energy Smart 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

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
• Fiber Build Authorization Form
• Water Service Line Replacement Agreement 

Wastewater

• Non-Domestic Users Survey Form
• Sewage Disposal System Claim Form