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
Name update for Current CustomerPhone numberEmailMailing addressBill delivery preference

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.

Name Update for Current Customer: