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
Please enter a valid phone number.Format: (000) 000-0000.
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?
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!
Upload Driver's License

Cancelof
Signature
For Office Use Only
New Account Number
Should be Empty: