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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
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Access to convenient payment options shouldn't be a barrier to essential utility services. Our Utility Payment Kiosk Location Suggestion Form empowers community members, local organizations, and municipal staff to recommend strategic locations for new self-service payment kiosks, ensuring that water, sewage, and other utility services remain accessible to all residents.
Payment kiosks serve as critical access points for residents who may not have reliable internet access, prefer in-person transactions, or need after-hours payment options. The right location can dramatically improve service accessibility, reduce travel burdens for underserved communities, and increase on-time payment rates across the municipality.
This form is designed for:
Built with Paperform, this template provides a structured approach to location suggestions that goes beyond simple address submissions. The form collects comprehensive information about:
Demographics & Community Needs: Understanding who lives, works, and travels through the proposed area helps prioritize locations that serve the most residents, particularly those facing transportation challenges or digital access barriers.
Accessibility Considerations: The form specifically addresses ADA compliance, public transportation access, parking availability, pedestrian safety, and other factors that determine whether a kiosk will truly serve all community members, including seniors, people with disabilities, and families with young children.
Installation Feasibility: By gathering details about property ownership, foot traffic patterns, existing infrastructure, weather protection, security features, and available utilities, the form helps municipal teams quickly assess which suggestions are most viable and cost-effective to implement.
Multi-Language Support & Extended Hours: The form considers language diversity in the community and the need for payment options outside standard business hours, ensuring kiosks serve all residents regardless of work schedules or primary language.
Municipal utility departments face unique challenges: serving diverse populations, managing limited budgets, ensuring compliance with accessibility regulations, and maintaining public trust. This Paperform template addresses these challenges by:
Streamlining Community Input: Rather than managing scattered emails, phone calls, and in-person suggestions, all location recommendations flow into one organized system where staff can review, compare, and prioritize proposals based on consistent criteria.
Supporting Data-Driven Decisions: The structured format ensures every suggestion includes the demographic, accessibility, and feasibility data needed to evaluate locations objectively, building a defensible case for infrastructure investments.
Enhancing Public Engagement: By providing a clear, accessible channel for community input, municipalities demonstrate responsiveness to resident needs while gathering valuable ground-level knowledge about service gaps and barriers.
Automating Workflows with Stepper: Connect this form to Stepper to automatically route submissions to appropriate departments, trigger site assessment workflows, update GIS mapping systems, and keep suggesters informed about evaluation progress—all without manual data entry.
Government forms must serve everyone, and Paperform makes that possible with:
This form template works seamlessly with the tools government agencies already use:
The information collected through this form supports the entire kiosk deployment process:
When residents see their input valued and acted upon, trust in municipal services grows. This form demonstrates that the utility department is:
Unlike rigid survey tools or complex database systems, Paperform offers the perfect balance for municipal teams:
This template is ready to customize with your municipality's branding, specific utility types, and internal review criteria. Add your logo, adjust the theme colors to match your website, and embed the form on your utility department page—or share a direct link through community newsletters, social media, and partner organizations.
Over 500,000 teams worldwide trust Paperform to handle their most important forms and workflows. From small municipal utilities to large metropolitan service departments, government agencies choose Paperform when they need professional forms that are both citizen-friendly and staff-efficient.
Make it easier for your community to access essential utility services. Start gathering strategic kiosk location suggestions today and demonstrate your commitment to equitable, accessible service delivery across every neighborhood you serve.