Utility Easement Form PDF Details

Did you know that your homeowners insurance policy may not cover all damages incurred to your home if a tree falls on it? That's because most standard homeowner policies do not cover damage caused by trees that fall on the insured property, but they will cover damage caused by an event such as a lightning strike. One way to help protect yourself from potential damages is to have a utility easement form in place. This document allows the insurance company to know about any power or telecommunications lines running through your property so they can better assess the risk. Having this form in place can also help speed up the claims process if something does happen.

In the table, there is some information about the utility easement form. There, you will discover the details about the PDF you would like to fill in, along with the approximate time required to fill it out as well as other data.

Form NameUtility Easement Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesutility easement document, form utility easement, utility easement agreement sample, utility form easement

Form Preview Example



This agreement will be entered and recorded into the Florida Clerk of Courts as part of the property located at: __________________________________________.

Lot(s): __________, Block(s): ____________.

The owners of said property: ____________________________________________

will be responsible for maintenance and repair of an onsite sewage treatment and disposal system per Chapter 64E-6(7) Florida Administrative Code. The onsite sewage treatment and disposal system will be part of the Florida Department of Health Permit. If the said system should fail this document has been placed into public record binding the said owners of property responsible for repair.

I also agree to give any utility, septic or other service related contractor access to the property in order to repair the service system.

The original lot size shall be maintained and retained for purposed of compliance with all the requirements of Chapter 64E-6, Florida Administrative Code.

Dated this day: ___________ of ______________________, ________.



Owner-Printed Name




Owner-Printed Name




The foregoing instrument was acknowledged before me this _________ day of

___________, _________. He/she is personally known to me or has produced a

drivers license or __________________________ as identification.




Notary Signature




Printed Notary Name


My commission Expires: __________

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