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* indicates a required field

2. Please note that pursuant to the state’s Public Records Act (RCW 42.56), documents are public records and may be subject to public disclosure. 

4. Instructions
   Simply fill out the form below to begin or stop service at a City of Battle Ground location. If disconnecting service, please choose the date of move-out if you are a renting tenant; choose the closing sale-date or move-out date (whichever is later) if you are moving from a property you own.
6. Note: Due to water meter read-dates, we may be unable to process your request. Please submit this form as close to your move-in or move-out date as possible.
10. Application Type*
    -- Select One --Owner - Connect (Move-In)Owner - Disconnect (Move-Out)Tenant - Connect (Move-In)Tenant - Disconnect (Move-Out)
11. Utility Billing Process and Policies
    Billing Process & Rates - City of Battle Ground
13. Connect / Disconnect Date*
    Connect / Disconnect Date
    The date that services should begin or be terminated.
15. Service Address*

    The location of utility service. You do not need to enter City, State, or Zip.

19. First Name*
20. Last Name*
22. Phone Number*
24. Email Address
25. eBilling

    1. Enroll me in email billing; I do not need a paper bill.

    e-Bills will be sent in the afternoon on the first business day of the month and will come from a incode.tylerhosting.cloud email address.

27. Spouse/Roommate to Include on Utility Bill*

    For mailing purposes.

    1. Yes
    2. No
28. First & Last Name
32. Mailing Address (if different)
    Connecting: Where you want your utility bills to go.                                                               Disconnecting: Where you want your final bill to go; should not be the same as the service address.
34. Street

    If different from the service address.

36. City
37. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
38. Zip
42. Owner / Property Management Info

    Name & Contact, if known.

44. Additional Information

    Examples: backup phone numbers, questions, etc.

    By default, no response is sent after this form is submitted to the Utility Department.

46. Need Help? You may call City Hall at (360) 342-5002 with questions or concerns.

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

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