Grass Valley, CA · Nevada County

No notary required

Account Information Change

Grass Valley account holders use this form to update the mailing address, phone numbers, or email address associated with their service account.

What this form is

This form lets a City of Grass Valley account holder provide old and new contact information for a service account. It asks for the service address, account holder name, account number, mailing address, phone numbers, email address, signature, and date. The form notes that changing ownership, adding a secondary account holder, or discontinuing service requires separate forms.

Who needs it

A City of Grass Valley service account holder who wants to update contact information associated with their account needs this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the account holder just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Account Information Change PDF.

  2. 2

    Complete The Form

    Enter the service address, account holder name, account number, old and new contact details, signature, and date.

  3. 3

    Check For Separate Forms

    The form says ownership changes, adding a secondary account holder, or discontinuing service require separate forms.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information can I change with this form?
The form provides fields for updated mailing address, primary and alternate phone numbers, and email address, along with account details.
Do I need a notary for the Account Information Change form?
No. The account holder signs and dates this form; it does not require a notary.
How do I submit the Account Information Change form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Account Information Change doesn’t need a notary — but if you have another Grass Valley form that does, a commissioned online notary can help.