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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. Account Number
13. Service Address
15. Address Line 1*
17. Address Line 2
19. City*
20. State / Province / Region*
21. Postal Code*
23. Forwarding Address
25. Address Line 1*
27. Address Line 2
29. City*
30. State / Province / Region*
32. Postal Code*
33. Country*
35. Service stop date (sale closing date)*

37. Note: A Closing Fee, currently at $40, is charged every time a request is made for a final meter reading per the Unified Fee Schedule (Ord.2175 and FMC 13.04.045).

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field