Bill Payment Options

• Auto Credit Card Enrollment Form, PDF (196K): Automatic payment enrollment form when using a credit card
• Direct Payment Enrollment Form, PDF (198K): Automatic payment form when using a checking account
• ACH (Automated Clearing House) Enrollment Form: Please email us at utilitybilling@santaclaraca.gov to request enrollment form

Start New Service / Stop Existing Service

• CSA Form, PDF (61K) : Continuing Service Agreement for landlords, apartment managers, HOA's

Rate Assistance Program

• FRAP Application - English, PDF (435K): Financial Rate Assistance Program form in English
• FRAP Application - Spanish, PDF (151K): Financial Rate Assistance Program form in Spanish
• HEAP Application - English, PDF (1.65M): Home Energy Assistance Program form in English   
• HEAP Application - Spanish, PDF (1.65M): Home Energy Assistance Program form in Spanish
• HEAP Application - Vietnamese, PDF (619K): Home Energy Assistance Program form in Vietnamese 
• HEAP Application - Chinese, PDF (619K): Home Energy Assistance Program form in Chinese
• MRAP Application, PDF (254K): Medical Rate Assistance Program form

Residential Third Party Notification Form

• Third Party Notification Form, PDF : Third Party Notification Form for Residential Utilities

Temporary Debris Bin 

•  Order a Debris Box

City of Santa Clara Claim Form

• City of Santa Clara Claim Form, PDF