This form must accompany all requests for community service projects. Projects will only be accepted from local, non-profit organizations or community agencies. Projects will be performed by Lassen Municipal Utility District (LMUD) crews if time, weather, and manpower permits. Projects must be submitted no later than two weeks prior to the date needed. Agencies will be notified of approval or denial in writing with confirmation of time requested. Questions may be directed to LMUD’s Energy Services Manager at (530) 257-4174.Organization(Required) Contact Name(Required) First Last Contact Phone(Required)Date of Request(Required) Month Day Year Date of Project(Required) Month Day Year Description of Project(Required)Requester's Consent(Required) I hereby verify the above information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Requester's Electronic Signature (Full Name)(Required)