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2. Utility Account Change Form - Rental Unit
   Please complete and submit this form if you are a tenant moving into a rental property or a landlord requesting utilities to be put in a tenants name(s). If you have any questions please contact the Utility Billing Department at 715-682-7056 M-F 8:00am-4:00pm.

4. When you submit this form we will put in a request for a special final meter reading on the date you will need to start services in your name at this location.

   There is a $35 fee for account change requests outside of normal billing cycles. This fee will be charged to the prior account holder. 

6. We must have at least a 48 hour notice to complete these requests and they cannot be completed on weekends and holidays. Requests for backdating may not be honored.   If you do not provide accurate information on this form it may cause a delay in your request.

7. Service Address:*
9. Move In/Move Out Date: *
   Move In/Move Out Date:
10. I Am:*
    -- Select One --TenantLandlord
12. Landlord/Property Owner Information
    As the landlord/property owner for this address I accept the responsibility for informing the City of Ashland with any changes in occupancy. I acknowledge that I am responsible for working with the City of Ashland if utility access is needed to this property.
14. First Name*
15. Last Name*
17. DBA:
19. Billing Address*
21. City*
22. State*
23. Zip Code*
25. Phone Number:*
26. Email Address:
28. New Tenant Information

    Please include the names of all tenants who are included on your lease. 

    As the tenant for this service address I accept the responsibility for payment of all City of Ashland utility charges associated with this rental unit during my occupancy. I understand that should I become past due, it could ultimately lead to a lien against my personal assets wherein my name could appear on the Wisconsin Consolidated Court Automated Program (CCAP) as public record.

30. First Name*
31. Last Name*
33. Phone Number*
34. How Many Occupants at this Address?*
36. Billing Address (If Different from Service Address)
38. City
39. State
40. Zip Code
42. Email Address:
43. Have you or your tenants ever had a utility account with the City of Ashland?*

    1. Yes

    1. No
44. Preferred Method Of Contact*
    -- Select One --PhoneEmailText
46. Additional Information/Comments
48. Change Form Submitted By:*
49. Date
    Date
51. Old Tenant Information

    Please list information regarding the old tenant so they receive their final bill.

53. First Name
54. Last Name
56. Phone Number
57. Email Address
59. Forwarding Address*
61. City
62. State
63. Zip Code
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

* indicates a required field