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2. Please fill out this form to make changes to your utility billing account.
4. Information Verification

   Enter your current information below as it appears on your bill to verify your account:

6. Name:*
8. Street Number:*
9. Street Name:*
11. City:*
13. State:*
15. Zip Code:*
16. Phone Number:*
17. Email Address:*
19. Pin Number*

    Pin number can be located on your utility bill. Enter 8 digits (no special characters). For assistance, please contact utility billing at 940-648-3290.

21. Account Number

    Account number can be located on your utility bill. Enter the 13 digit number below. For assistance, please contact utility billing at 940-648-3290.

23. 3 digits*
24. 7 digits*
25. 3 digits*
27. Information Change Request

    Please enter the new information you would like to have changed on your account below. You may change your name, phone number, and/or email address.

29. New name(s) on account (separate multiple names with a comma):
31. Phone Number:
33. Email:
35. Authorization of Changes*

    To complete the change request, please authorize below. 

    I am the owner of this account, and I am requesting the changes listed above to be made active for this account. I am aware that changes will reflect on my next utility bill.

    1. Yes, I agree to the above statement and agree for the changes to be made to my utility billing account

37. NOTE: If there is more than one name on the account, please download the attached form, all parties currently on the account must sign, and re-upload the form.

39. Click link to download form:
    Multiple Account Owner Verification Request Form
41. Upload file here:
Leave This Blank:


45. Submit

* indicates a required field