Utility Billing Updating Customer Info Form

Utility Billing Updating Customer Info Form

Please fill out this form to request an update to your account information
***NOT TO BE USED FOR ADDING OR TRANSFERRING AN ACCOUNT TO A DIFFERENT CUSTOMER***

ONLY FOR CURRENT CUSTOMER
Full Name:

First NameLast Name
Account Number:
Email
example@example.com
Service Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What information do you need to update?

Name Update for Current Customer:
***NOT TO BE USED FOR ADDING OR TRANSFERRING AN ACCOUNT A DIFFERENT CUSTOMER***

ONLY FOR CURRENT CUSTOMER
Previous First and Last Name:

First NameLast Name
New First and Last Name

First NameLast Name
Driver's License with Name Change:

Cancelof
Proof of Legal Name Change (i.e., marriage certificate, trust, etc.)

Cancelof

Updating Phone Number:
Previous Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
New Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Updating Email:
Previous Email:
example@example.com
New Email:
example@example.com
Bill Delivery Preference:

Updating Mailing Address:
Previous Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
New Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bill Delivery Preference:

Updating Bill Preference:
Bill Delivery Preference:
Confirm Email:
example@example.com
Confirm Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please sign for verification that we can make these changes:
Signature
Should be Empty: