Utility Account Changes

2. City of Decatur

   Utility Account Changes

   Utility Account Changes

4. Date*
   Date

6. Requested Change*
   -- Select One --Disconnect ServiceTransfer of ServiceChange of Legal Name

7. Address Change Information/If Applicable
   -- Select One --Forwarding AddressNew Mailing Address/Same Service Address

9. Name*

10. Account Number

12. Legal Name Change

14. Service Address*

16. New Service Address

18. Mailing Address*

20. Update Mailing Address/Forwarding Address*

24. For Office Use Only

26. Date of Final Read

27. Final Read

29. Date Account Updated

30. Update Completed By

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field