Utility Meter Assignment Form

Utility Meter Assignment Form
Submit details to assign a utility meter to a specific location or account. Please complete all relevant fields for accurate processing.
Requester Full Name
First NameLast Name
Requester Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property or Service Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Utility Type
Meter Number or Identifier
Assignment Type
Effective Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Meter Status
Access Instructions or Notes
Should be Empty: