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2. Please note:

   We no longer change utility accounts into tenants' names. This form is intended for property owners only.

4. First Name*
5. Last Name*
7. Phone*
9. Email*
11. Service Address
13. Address Line 1*
15. Address Line 2
17. City*
18. State / Province / Region*
19. Postal Code*
21. Mailing Address
23. Address Line 1*
25. Address Line 2
27. City*
28. State / Province / Region*
30. Postal Code*
31. Country*
33. Service Start Date (closing date on your home)*

35. One-time Account Set Up Fee

    A one-time Set-Up Fee is charged to all new accounts per the Unified Fee Schedule (Ord. 1458) currently at $40.

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field