Utility Forms

Utility Programs

  1. Healdsburg CARE Program Application (PDF)
  2. Home Energy Assistance Program (HEAP) Application (PDF)

Utility Rates

  1. Electric Rate 2016 Resolution (Effective November 2016) (PDF)
  2. Rates-Electric Utility Resolution (PDF)
  3. Rates-Water and Wastewater Utility Resolution (PDF)
  4. Water and Wastewater Rate 2016 Resolution (Effective July 2016) (PDF)

Utility Service Requests

  1. Utility Service Application - English (Fillable PDF)
  2. Utility Service Application - English (Printable PDF)
  3. Utilities Guarantee of Payment (PDF)
  4. Green Rate Application Eng
  5. Green Rate Application Spa

Formularios de Utilidades en Español


  1. Solicitud para Servicios de Utilidades - Español (Rellenable PDF)
  2. Solicitud para Servicios de Utilidades - Español (Imprimible) (PDF)
  3. Solicitud del Programa CARE (PDF)
  4. Solicitud del Programa HEAP (PDF)