Service Change Request

Home»Service Change Request

Service Change RequestJessie Short2022-07-21T14:54:10-08:00

If you prefer, click the button below to download a PDF that you can print and mail in or email to owsi@portludlowassociates.com

Download PDF

"*" indicates required fields

Service Change*

New Owner

End Service

New Renter

Back to Owner

New Construction

Service Address*

Port Ludlow WA 98365

Effective Date*

MM slash DD slash YYYY

For new owner, please use closing date of home. For new renter, please use lease start date.

Primary Contact*

Phone*

Email*

Billing Format

Mail

E-statements

Your first bill will be sent by mail and you will be able to register online once you have received your account number.

Drivers License #*

Billing Address*

Street Address City State ZIP Code

Forwarding Address*

Street Address City State ZIP Code

Requested Service*

Account Set Up/Meter Reading

Service Visit Charge

Seasonal Shut Off

Seasonal Turn On

Disconnect Visit

Reconnect Charge

Reconnect Charge/After Hours

Total

Consent*

I agree to the following.*

With customer signature and acceptance by OWSI, the application becomes a contract committing the customer(s) to pay for utility services at the above location at the applicable and established rates and minimum charges, and for any unpaid services previously rendered to the customer.

Signature*

CAPTCHA

This field is for validation purposes and should be left unchanged.