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Utility Account Contact Information Update

2. Name on the account

3. Account Number*

   You will find your Account Number on your Utility bill, it is the first 9 digits before the dash in the Account Number - CID field. (Ex: 444444444 - 5555555)

4. Customer ID Number*

   You will find your Customer ID (CID) Number on your Utility bill, it is all of the digits after the dash in the Account Number - CID field. (Ex: 444444444 - 5555555)

6. Physical Service Address

7. Mailing Address Same As Physical?*

   1. Yes
   2. No

9. New/Upated Mailing Address

11. New/Updated Mailing City

12. New/Updated Mailing State

13. New/Updated Mailing Zip Code

15. New/Updated Mobile Phone Number

16. New/Updated Home Phone Number

18. New/Updated Email Address

20. I verify that I am the account holder, or an authorized representative, and that the information provided above is true, accurate, and complete to the best of my knowledge.

    1. Yes
    2. No

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field