2. 
3. ***** Please disregard Form Center login above. *****
   Complete the information below if you are a landlord and want to request a change of utility services for your rental property.
5. ATTENTION:
   If the water service has been turned off, ALL balances (tenant and owner) will need to be paid in order to have water service restored. Please pay all outstanding balances before submitting this form.
7. Your Name*
9. Street address of your rental property*
   (Include apartment or unit number, if there is one.)
11. City*
12. State*
13. Zip Code*
15. Rental Property Account Number*
16. Customer ID*
17. Need help finding the account number and customer ID?
    Click Here!
19. CONTACT INFORMATION:
21. Your Mailing Address *
    (Include apartment or unit number, if there is one.)
23. City*
24. State*
25. Zip Code*
27. Email Address*
28. Phone Number*
    (Please include area code.)
30. What would you like to do?*

    1. The water is currently OFF. I want the water to be turned ON in my name.
    2. The water is currently ON. My tenant has moved out, but I want the water to stay ON in my name.
    3. The water is currently ON. My tenant has moved out, and I want the water to be turned OFF.
32. Date of Service Transfer:*
    Date of Service Transfer:
34. THE SERVICE TRANSFER DATE CANNOT BE TODAY'S DATE. Please enter tomorrow's date or later.
    If you choose a date that is on a weekend or holiday, your request will be scheduled for the following business day.
36. Additional Comments:
Leave This Blank:


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

    This field is not part of the form submission.

40. Submit

* indicates a required field