Forms

Below are commonly used forms that are required for certain services from Owensboro Municipal Utilities.

Forms can be faxed to the attention of the billing department at (270) 684-7952. For more information please contact us.

• Automatic Withdrawal Authorization
• Credit Card Authorizaton
• Declaration of Domicile
• General Liability Claim Form
• Medical Alert Letter
• Medical Alert Physicians Statement
• Medical Alert Program
• RWRA Sewer Exemption
• Sewer Adjustment