Forms

The following forms are available from the Customer Service Center in electronic format. Please download and fill these forms out as needed.

• Autopay Form (PDF)
  Form to authorize direct payments (Autopay) of your Utility bills through checking or saving account.
• Low Income Senior/Disabled Application (PDF)

       Application for low income senior citizens or low income totally disabled customers to apply for discounted utility services.

• Owner Application for Commerical Utility Service (PDF)

       Application for property owners to establish commercial utility services.

• Owner Application for Utility Service (PDF)

        Application for property owners to establish utility services.

• Tenant Application for Commercial Utility Service (PDF)

        Application for tenants to establish commercial utility services.

• Tenant Application Information Form (PDF)

        Form for tenants to establish residential utility services.

• Utility Mailing Address Change Form (PDF)
  Form to change the address for your Utility account.
  
• Request for Water Leak Adjustment (PDF)
  Form to Request for Water Leak Adjustment.
• Collection and Write-off Policy (PDF)
  City of Centralia Public Works and City Light Collection and Write-off Policy for delinquent accounts
• COVID-19 Contracted Payment Plan Policy (PDF)
  COVID-19 Utility bill payment plan policy.
• NWS Heat-Related Weather Alert Payment Plan Policy English (PDF)
• NWS Heat-Related Weather Alert Payment Plan Application English (PDF)