Landlord Authorization Form

Please read the following and fill out the form below, or download the pdf and return to:

Hingham Municipal Light Plant
31 Bare Cove Park Drive, Hingham, MA 02043

or return it via email

Please complete the Landlord Authorization form, indicating whether you would prefer to have electric service to your rental property or properties left on and placed in your name between tenants or, instead, to have service terminated between tenants.

Once the form is received and processed, Hingham Municipal Light Plant will continue to abide by its terms until otherwise advised in writing.

If we have no form on file for you, and no application for new service is received, we will terminate service until a new application is received.

Please list the service location of each property or properties that you own and plan on renting. Please indicate below whether you would like the electric service placed in your name when a tenant vacates OR the electric service be shut off when a tenant vacates.

If you have any questions, please do not hesitate to contact the Customer Service Department at 781-749-0134.

Service Address *

Account Number *

Service Address

Account Number

Service Address

Account Number

Service Address

Account Number

Please check one: *

I request that electric service be placed in my name when a tenant vacates to prevent interruption of service.

I request that electric service be shut off when a tenant vacates the property.

Landlord Name *

Phone *

Email *

Street Address *

Apt, suite, etc.

City *

State *

Zip *

Signature *

Date *

Captcha *

reCAPTCHA is required.

Landlord Authorization Form

Hingham Municipal Lighting Plant

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