| *
Property
Address: |
|
| *
City, State, Zip+4 |
- |
| *
Present
Customer Name(s): |
|
| *
Present Customer's
Forwarding Address: |
|
| *
City, State, Zip+4 |
- |
| *
Title Company
Name: |
|
| Final Bill
should be sent to: |
|
| *
Company Name: |
|
| File or
Escrow # (if available) |
|
| *
Street Address |
|
| *
City, State, Zip+4 |
- |
| *
New Customer
Name(s): |
|
New Customer's
Billing Address:
(if different from property address) |
|
| City, State, Zip+4 |
- |
| *
New Customer's Current Address: |
|
| *
City, State, Zip+4 |
- |
*
New Customer's Previous Phone Number:
(or current number if the same) |
|
| *
**Final Meter
Reading Requested Date:
|
|
| *
Person
Requesting: |
|
| *
Phone Number (xxx-xxx-xxxx): |
|
| Requests: |
|
| *Do you need a
status report?
** |
yes
no |
| New Customer's
Phone Number |
|
| New Customer's
E-mail Address |
|
| *Requestor's
e-mail for
confirmation: |
|
| Comments: |
|
|
**Please
allow 48 hours for a status report. If you need a transfer of
service completed within 24 hours, please contact a Customer Care
Specialist at 303-893-2444. Thank you.
Note: We suggest you contact the
waste water service provider in order to determine the status of the
storm drainage charges.
|
