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2. This form is for landlords only to request a special move-in or move-out water utility meter read.
   Tenant changes will be processed upon follow up from customer service. Utility bills will default back to property owner until a new tenant move in date is provided on a separate request.
4. Property Information
6. Move Type*
   -- Select One --Move InMove Out
7. Tenant's Name*
9. Service Address
11. House, Building or Apartment Number*
12. Street Name
13. Direction
15. Type*
    -- Select One --CommercialMulti-Unit ApartmentSingle Family Home
16. City / State / Zip*
18. Telephone*
19. Email Address*
21. Note this submission will be timestamped when it is submitted. Water readings that are back-dated will be rejected
23. Date of Reading*
    Date of Reading
24. Landlord Name*
25. Landlord Phone*
27. Final Billing Mailing Address for Move Outs
29. Billing Name
30. Billing Address
32. City
33. State
34. Zip
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