E-Gov Services City of Milford

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Transfer of Utility Service Request - Rental Property

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Purpose. This form is used to communicate with city personnel to request services and request information. This request must be completed/submitted by the property owner. A minimum of 24 hours notice is required for Final reading scheduling purposes.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone:	() –

Utility Service Address:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:

Utility Account Number:

* Mailing Address:

* Transfer Date:

* New Renter's Name & Phone number:

* Property Owner's Electronic Signature:

* Date:

Attach a Picture or File (max size: 30MB):

Add Another FIle

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Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.