Billing + Payments

Request to Transfer Services

Please complete the form below.

Transfer requests will not be processed if the current account has a past due balance. In addition, a deposit may be required prior to transferring services to a new location.

Transfer Date *

Account Number *

Account Name

First Name *

Middle Initial

Last Name *

Current Service Address

Address Line One *

Address Line Two

City *

State *

Zip *

New Service Address

Address Line One *

Address Line Two

City *

State *

Zip *

Proof of Residence or Ownership *

. jpg , .pdf

Government Issued ID *

. jpg , .pdf

Photo ID

Phone Number *

Secondary Phone Number

Is the Billing Address the same * Yes No

Billing Address (if Different)

Address Line One

Address Line Two

City

State

Zip

Do you own the service property * Yes No

Owner's Name

First Name

Middle Initial

Last Name

Owner's Phone Number

Signature

Today's Date *

Billing + Payments

Request to Transfer Services

Please complete the form below.

Irving City Hall

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