CCA Online Form Date(Required) SUB Account# (provide if you have it)Property Owner's Name(Required)Property Owner's Phone(Required)Service Address for this Agreement(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If you want to enroll this account in Notifications when billing starts/stops under this Courtesy Connect Agreement, please enter PHONE hereIf you want to enroll this account in Notifications when billing starts/stops under this Courtesy Connect Agreement, please enter EMAIL here Mail Bills to this Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Comments - Please add or share any information that may help with this agreement.Owner's Signature (Please type your name)(Required)Consent I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.TO BE VALID, FORM MUST BE COMPLETED BY PROPERTY OWNER FOR EACH PROPERTY. I request my rental property to be on SUB’s Courtesy Connect Agreement and by my signature below, understand and agree to the terms of this agreement. Upon my signature SUB agrees to: • Leave utility services connected (between tenants) to all meters at the service address(es) listed below. • A one-time only Account Processing Charge for my accounts at each service address. All future processing charges will be waived as long as this agreement is active. I understand and agree to: • Payment of basic charges plus services billed between tenants. This billing period will start from the date each tenant gives SUB notice to stop service until the next tenant gives SUB notice to start service in their name. It is SUB’s recommendation that you or an authorized person verify with SUB that new tenants have contacted SUB to sign up for services in their name. • Services automatically going into my name without notification from SUB. However, I understand I may elect email/text notifications by registering via SUB’s customer portal (subutil.com), through our mobile app by scanning the QR code above or by signing up below. Notify SUB immediately upon the sale of my property to end this agreement, or if I choose to cancel this agreement. • Sign a Courtesy Connect Agreement for each rental property, i.e. each apartment complex, duplex, etc. In the absence of a signed agreement, services will be disconnected between tenants, and I must pay the account processing charge if I wish to reconnect services. IMPORTANT: 1. Please be aware that SUB may disconnect tenants for various reasons without notification to you. Services will remain off until the situation with the tenant(s) is resolved or SUB is notified that the tenant(s) has vacated the property. SUB needs one working day’s notice to restore services. 2. SUB reserves the right to suspend this agreement. This field is hidden when viewing the form.TO BE VALID, FORM MUST BE COMPLETED BY PROPERTY OWNER FOR EACH PROPERTY. I request my rental property to be on SUB’s Courtesy Connect Agreement and by my signature below, understand and agree to the terms of this agreement. Upon my signature SUB agrees to: • Leave utility services connected (between tenants) to all meters at the service address(es) listed below. • A one-time only Account Processing Charge for my accounts at each service address. All future processing charges will be waived as long as this agreement is active. I understand and agree to: • Payment of basic charges plus services billed between tenants. This billing period will start from the date each tenant gives SUB notice to stop service until the next tenant gives SUB notice to start service in their name. It is SUB’s recommendation that you or an authorized person verify with SUB that new tenants have contacted SUB to sign up for services in their name. • Services automatically going into my name without notification from SUB. However, I understand I may elect email/text notifications by registering via SUB’s customer portal (subutil.com), through our mobile app by scanning the QR code above or by signing up below. Notify SUB immediately upon the sale of my property to end this agreement, or if I choose to cancel this agreement. • Sign a Courtesy Connect Agreement for each rental property, i.e. each apartment complex, duplex, etc. In the absence of a signed agreement, services will be disconnected between tenants, and I must pay the account processing charge if I wish to reconnect services. IMPORTANT: 1. Please be aware that SUB may disconnect tenants for various reasons without notification to you. Services will remain off until the situation with the tenant(s) is resolved or SUB is notified that the tenant(s) has vacated the property. SUB needs one working day’s notice to restore services. 2. SUB reserves the right to suspend this agreement. CAPTCHA