THIRD PARTY NOTIFICATION APPLICATION

 

 

Vineland Municipal Utilities is engaged in a program called Third Party Notification. This program notifies property owners, or other concerned parties, of the possibility of discontinuance of service due to non-payment of past-due utility bills. This program is especially beneficial to the elderly who, through no fault of their own, may forget to pay their bills.

 

Third Party Notification is a duplication of the notice that is sent to the customer of record. This duplicate notice is intended to make those interested parties aware of delinquency which could lead to disconnection of service. Please note: Property owners will assume responsibility for any unpaid balance accrued by tenants. This amount will become a lien on the property if left unpaid. For this reason, all property owners are encouraged to participate in this program.

 

If you wish to participate in this program, please fill in the application below, and make sure that both the customer and the designated third party sign and date the form.

 

 

CUSTOMER DATA

 

Account Number(s)_____________________________________________________________

 

NAME:_______________________________________________________________________

 

ADDRESS:____________________________________________________________________

 

BLOCK:_________LOT:_______CUSTOMER SIGNATURE:_________________________

 

 

THIRD PARTY DATA

 

____Property Owner ____Relationship__________________________________________

 

NAME:_______________________________________________________________________

 

ADDRESS:____________________________________________________________________

 

CITY:_______________________________STATE:_____________ZIP:_________________

 

TELEPHONE NUMBER: Home:____________________Business:____________________

 

DATE:______________THIRD PARTY SIGNATURE_______________________________

 

 

 

Vineland Municipal Electric Utility