Utilities - Transfer Service OWNER

2. 

3. ***** Please disregard Form Center login above. *****
   Complete the information below if you need to stop utility services at one Fairfield property, and start utility services at another Fairfield property.

   Complete the information below if you need to stop utility services at one Fairfield property, and start utility services at another Fairfield property.

5. PART 1: STOP SERVICE AT YOUR PREVIOUS PROPERTY
   ATTENTION - If the property you are moving out of has a past-due balance, your request to transfer utility services will not be approved. Please pay any past-due balances before submitting this request.

   ATTENTION - If the property you are moving out of has a past-due balance, your request to transfer utility services will not be approved. Please pay any past-due balances before submitting this request.

7. Name*

9. What is the address you are moving out of?*

   (Include apartment or unit number, if there is one.)

11. City*

12. State*

13. Zip Code*

15. Account Number*

16. Customer Number*

17. Need help finding the account number and customer ID?
    Click Here!

19. Stop Date*
    Stop Date

21. THE STOP 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 final reading will be scheduled for the following business day.

    If you choose a date that is on a weekend or holiday, your final reading will be scheduled for the following business day.

25. PART 2: START SERVICE AT YOUR NEW PROPERTY

27. What is the address you are moving into?*

    (Include apartment or unit number, if there is one.)

28. Property Type:

    1. Residential
    2. Commercial

30. City*

31. State*

32. Zip Code*

34. MY NEW MAILING ADDRESS WILL BE:

36. Street Address*

    (Include apartment or unit number, if there is one.)

38. City*

39. State*

40. Zip Code*

42. Email Address

43. Phone Number*

45. If the service property is commercial, please provide the Federal Tax ID Number:

47. Start date at my new property:*
    Start date at my new property:

50. THE START 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, the start date will be scheduled for the following business day.

    If you choose a date that is on a weekend or holiday, the start date will be scheduled for the following business day.

52. Additional Comments:

56. WHAT HAPPENS NEXT?
    You may receive an email that states that your utility request has been submitted for review. This email IS NOT confirmation that your request is complete.

    You may receive an email that states that your utility request has been submitted for review. This email IS NOT confirmation that your request is complete.

58. If we have any questions or need more information, a representative of the Fairfield Utility Billing Office will contact you by phone or email.

    If we have any questions or need more information, a representative of the Fairfield Utility Billing Office will contact you by phone or email.

60. After all information has been collected and processed, you will receive an email confirming that your utility transfer request has been completed. This confirmation email will also provide answers to common questions regarding your new Fairfield utilities account.

    After all information has been collected and processed, you will receive an email confirming that your utility transfer request has been completed. This confirmation email will also provide answers to common questions regarding your new Fairfield utilities account.

Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field