Utility Account Please provide the following information: Name: * Email: * Address: * City: * State: * Zip: * Phone: * Alt Phone: Fax: Organization: Street Address of subject property. Full name (First and Last) as you want it to appear on the account. Date you wish the name/address change to take effect. Do you own or rent this property? Any additional comments. Please contact the Public Works Administrative Offices at (508) 393-5040x6 if you have additional questions or concerns. Leave this field blank
