Monthly Meter Reading Report Form

Monthly Meter Reading Report Form
Submit your monthly utility meter reading with property and meter details for accurate record-keeping.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Unit or Apartment Number (if applicable)
Meter Type
Meter Serial Number or ID
Date of Reading
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Meter Reading Value
Previous Meter Reading Value (if known)
Upload a Photo of the Meter Display
Cancelof
Full Name of Person Submitting Reading
First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email Address
example@example.com
Additional Comments or Notes
Should be Empty: