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2. Utility Contact Information
   This form is meant to only change contact information on an existing utility account. This is NOT the place to create a new account at a new address. To create a new utility account, please complete the "Application for Utility Services".
4. Current Name (as it appears on bill)*
6. City Account Number*
8. Location Address*
10. Phone Number*
11. 2nd Phone Number
13. Email Address*
17. Change or Add Account Name
    This is NOT where you create a new utility account. This is only if you want to change a first or last last name for someone already on the account, add/remove a spouse, or add/delete another person's name to your existing account.
19. Change Current Name To
21. Name to Add to Account
22. Name to Remove From Account
26. New Mailing Address
28. Address1
29. Address2
31. City
32. State
33. Zip
37. Paperless Billing

    1. Check to request paperless billing.

    You will receive the utility bill and account notices via email instead of paper copies.  

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

* indicates a required field