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 that you will be renting.
5. PART 1: STOP SERVICE AT YOUR PREVIOUS PROPERTY
7. ATTENTION:
   Service at your new property will not be granted if the property that you are moving out of has a past-due balance. Please pay any past-due balances before submitting this request.
9. Name*
11. What is the address of the property you are moving out of?*
    (Please include apartment or unit number, if there is one.)
13. City
14. State
15. Zip Code
17. Account Number*
18. Customer Number*
19. Need help finding the account number and customer ID?
    Click Here!
21. Stop Date*
    Stop Date
23. 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 a holiday, your final reading will be scheduled the following business day.
27. PART 2: START SERVICE AT YOUR NEW PROPERTY
29. A deposit of $150.00 is required for all non-owner accounts. You must submit a new deposit for your new property. (A deposit from an old property cannot be moved to a new property.)

    AFTER PAYING THE DEPOSIT, PLEASE RETURN TO THIS PAGE TO COMPLETE THE SIGN-UP PROCESS.

31. xxxxx
    CLICK HERE TO PAY $150.00 DEPOSIT ONLINE

    xxxxx

35. What is the address of the property you are moving into?*
    (Include apartment or unit number, if there is one.)
36. Property Type:

    1. Residential
    2. Commercial
38. City*
39. State*
40. Zip Code*
42. What is your new mailing address?*
    (Please include apartment or unit number, if there is one.)
44. City*
45. State*
46. Zip Code*
48. Email Address*
49. Phone Number*
    (Please include area code.)
51. If the service property is commercial, please provide the Federal Tax ID Number:
53. Start Date*
    Start Date
55. 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 a holiday, your start date will be scheduled for the following business day.
59. What is the name of the landlord at your new rental property?
61. What is the landlord's phone number?
    (Please include area code.)
63. Upload a copy of your rental agreement or land contract.*
    (If you are renting or have a land contract, a copy of your contract MUST be submitted in order to establish service.)
65. Additional Comments:
69. 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.
71. If we have any questions or need more information, a representative of the Fairfield Utility Billing Office will contact you by phone or email.
73. 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:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field