Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

E-Bill Authorization

  1. E-Bill Authorization

  2. I authorize the Borough of Seaside Heights to send the utility bills selected below to me via e-mail only. I understand that, if I select this option, I will no longer receive paper bills. I must notify the Borough of Seaside Heights in writing (not e-mail) if I choose to discontinue e-bill notification. I assume the responsibility for any and all consequences related to the failure to receive any e-bill.

  3. (If you do not want your electric bill sent via e-mail leave this blank)

  4. (If you do not want your water/sewer bill sent via e-mail leave this blank)

  5. By typing your name you are acknowledging that this would be a signature.

  6. Date

  7. Leave This Blank:

  8. This field is not part of the form submission.