[City of Grand Forks] Grand Forks Utility Billing Move In/Move Out

Section 1 of 1 in this document

Grand Forks Utility Billing

CHANGE OF OWNERSHIP FORM

Phone Number of Person Completing this form

Effective Date (Date can not be backdated. Online Requests require 1 business day to complete after receipt of this form.)

Utility Service Address

Choose which option applies:

I am MOVING OUT of this address

I am MOVING INTO this address

I am the OWNER of this property and am giving information for new tenants

Are you the owner or renter at the address?

Owner

Renter

Is there a NEW OWNER of this property?

Yes

Name(s) as listed on the Utility account

Name(s) of tenant moving OUT as listed on the Utility account

Utility Account Number

If today is your last day of service at this address, please provide your meter reading:

If today is the last day of service at this address, for previous tenant, please provide the meter reading:

Name(s) as you would like it listed on your new Utility account:

Name(s) of NEW tenants as they should be listed on the new Utility account:

Are you the owner or renter at the address?

Owner

Renter

Phone Number 1

Phone Number 1 (NEW Tenant)

Phone Number 2

Phone Number 2 (NEW Tenant)

Person Filling out this forms Email Address

NEW Tenant Email Address

SECOND Tenant Email Address

Please provide your drivers license number

NEW tenant's drivers license number

SECOND tenant's drivers license number (if applicable)

Please provide drivers license number of second person responsible for bill (if applicable)

Please provide last 4 digits of your social security number

Please provide last 4 digits of social security number of second person responsible for bill (if applicable)

NEW tenant's last 4 digits of social security number

SECOND tenant's last 4 digits of social security number

Would you like to be sent information to be set up for Auto-Withdrawal?

Yes

If you want to receive your bill by email, you must enroll online. Go to www.grandforksgov.com to set up an account in E-Suite. Once enrolled you can select to have your bills emailed. In E-Suite you can also make a one-time payment or set up recurring payments with a debit or credit card.

Name of Person Completing this form

Address of Person Completing this form

Effective Date (Date can not be backdated. Online Requests require 1 business day to complete after receipt of this form.)

Choose which option applies:

Are you the owner or renter at the address?

Is there a NEW OWNER of this property?

Please provide name of NEW OWNER:

Please provide Forwarding Address

Please provide Forwarding Address

Are you the owner or renter at the address?

Mailing Address

Mailing Address of NEW tenant

Would you like to be sent information to be set up for Auto-Withdrawal?