Utilities Transfer Form

Utilities Transfer Form

The deposit and any amount remaining on the current account will forward to the new account. A $10.00 processing fee will be applied to the new account.
There is a 1 day processing period.

If you need this transfer processed immediately, please come to the Business Office @ 301 16th St. Room 1.
Turn Off Date*

MonthDayYear
Date
Name*

First NameLast Name
Current Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account Number*
Phone Number*

Area CodePhone Number
Email*
example@example.com
New Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Turn On Date*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Transfer my current bank draft information to my new account?*

YesNoI would like to sign up for bank draft. Send me the form!
Send me a link to register on WaterSmart. This will allow me to see my household's daily water consumption, view my bill, and set my account to alert me of leaks to save me money!*

YesNo
Upload Driver's License*

Browse Files

Cancelof
Signature*

Clear
For Office Use Only
New Account Number
Should be Empty: