Request to Update Billing Address

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This field is for validation purposes and should be left unchanged.
Please select if you are the:*
- Owner
- Tenant
Account Information
Account Number*
Customer Name*
First Last
Telephone Number*
Property Address*
Street Address Address Line 2 City State ZIP Code
Updated Billing Address
By checking this box, you are acknowledging that the above property address is not being managed by a property management company (PM ). If the property is managed by a PM, please complete the Landowner Consent to Tenant Billing (LT )application. Please note, original LT documents must be submitted to Elk Grove Water District in person or by mail
Billing Address*
Street Address Address Line 2 City State ZIP Code
Telephone Number*
Email*
Per our ordinance 05.15.19.03, Section 3.4, California Government Code Section 54347 states the property owner is responsible for any unpaid balances. By signing your name below, you are authorizing this change to your account.*
By checking this box, I represent that I am electronically signing these documents which will have the same effect as the execution of these documents by a written signature.
Name*
First Last
Date*
MM slash DD slash YYYY

Account Information