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Welcome to the City of Milford, OH, Action Line
Today is Friday, April 28, 2017.
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.
General Utility Account Requests

Purpose. This form is used to communicate with city personnel to request services and request information.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone: (
* Address:
* City:
* State:
* ZIP:

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:
 
* Request for:








9
 
Courtesy Meter Reading Reason:
 
Account Transaction History Report Dates From ____ To____:
 
Account Payment Status Detailed Reason for Request:
 
Pool Credit Starting Fill Date ______ and Ending Fill Date ______
 
Pool Fill Credit Request Starting Meter Read ______ to Ending Meter Read _____
 
Leak Credit Request Detailed Reason for Request: This request requires a copy of all applicable repair documentation
 
Turn Water Off Detailed Reason for Request:
 
Turn Water On Detailed Reason for Request: (Scheduled Appointment Required) Requested Date ______ and Time ________.
 
Other Detailed Explanation:
 
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.

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