Chesterfield, NY · Essex County
Change of Billing Address
Property owners in the Town of Chesterfield or Port Kent Water District use this form to request a change to the mailing address for water bills.
What this form is
This form lets a property owner in the Town of Chesterfield Water District or Port Kent Water District change where water bills are sent. The owner provides service and billing addresses, contact details, the responsible bill payer, the effective date, and a signature; the town says a completed form is required to change a bill’s address.
Who needs it
An owner of property in the Town of Chesterfield Water District or Port Kent Water District who needs to change the address for water bills should complete this form.
How to submit it
Email the completed form to [email protected], drop it off in person, or mail it to the Water Department, 1 Vine Street, P.O. Box 456, Keeseville, NY 12944.
About notarization
This form is signed and dated without a notary; the document identifies no attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Change of Billing Address form.
- 2
Complete The Form
Print clearly and provide the service address, owner details, updated billing address, effective date, and signature.
- 3
Check For Attachments
The document does not identify any attachments to gather.
- 4
Submit The Form
Email it to [email protected], drop it off in person, or mail it to the Water Department at the listed address.
Frequently asked questions
- Who should complete the Change of Billing Address form?
- The form says it is for the owner of property within the Town of Chesterfield Water District or the Port Kent Water District who needs to change the billing address.
- What information does the form ask for?
- It asks for the service address, owner and contact details, the person responsible for quarterly bills, the updated billing address, the effective date, and the owner’s signature and date.
- How do I submit the Change of Billing Address form?
- Email the completed form to [email protected], drop it off in person, or mail it to the Water Department at 1 Vine Street, P.O. Box 456, Keeseville, NY 12944.
- Do I need a notary for this Change of Billing Address form?
- No. It has an owner signature and date but no notary block; the document identifies no attachment or related step requiring notarization or an oath.
