Required fields are marked with asterisks (*)

Welcome - City of Evans Utility Billing Account Change Form

Please complete the fields below.

Account Number

First Name

Last Name

Service Address

Mailing Address (if different from above)

Phone

Email Address

Property Management Name and Contact info

Add tenant to account

Remove tenant from account

Additional Name to Receive Copy of Utility Invoice

Additional Full Address to Receive Copy of Utility Invoice

Effective Date

TERMS OF ACCEPTANCE and SIGNATURE I agree that I am the current Property Owner of Record of this property and am authorizing this change. Acknowledgement - I understand that checking this box constitutes a legal signature confirming that I acknowledge and

Clear

Thank you for submitting your Account Change Form. If there are any questions, please contact City of Evans Customer Service at (970) 475-1170.

Forms

Welcome - City of Evans Utility Billing Account Change Form