LUS Forms

Bank Draft Authorization Form [HTML]
Click Here to Learn More About Bank Draft
This form must be filled out entirely. Remember to check only one checkbox in each section.
Print the form, then sign and date it in the blanks at the bottom of the page.
A canceled or voided check must be mailed with this form to:

Lawrenceburg Utility Systems
ATTN: Bank Draft
PO Box 649
Lawrenceburg, TN 38464


Landlord Rental Agreement [PDF]       This form must be filled out entirely. Remember to check only one item in each section.
      Print the form, then sign it.

Lawrenceburg Utility Systems
ATTN: Landlord Rental Agreement
PO Box 649
Lawrenceburg, TN 38464


Round Up Authorization Form [HTML]
      Click Here to Learn More About Round Up
      This form must be filled out entirely. Remember to check only one item in each section.
      Print the form, then sign it.

Lawrenceburg Utility Systems
ATTN: Round Up
PO Box 649
Lawrenceburg, TN 38464


Water Usage Form [Excel (.xls)]
      If you can't open this file, you can download LibreOffice for no cost. It will open .xls files.
      download LibreOffice