Moses Lake, WA · Grant County
Property Owner Utility Services Request
This form lets a property owner request utility service in their name and accept responsibility for monthly payments; the owner submits it to the City of Moses Lake Utility Department.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form identifies the property owner, service address, mailing address, and effective date, and records the owner’s responsibility for utility charges and monthly payments. The City of Moses Lake requires the form to be notarized or accompanied by a copy of government-issued ID when it is not filed in person with the Utility Department. Utility service will not be put in the owner’s name until the document is properly executed and received.
Who needs it
A property owner requesting utility service in their name for a service address in Moses Lake must complete and submit this form to the city’s Utility Department.
Why it needs a notary
The form has an acknowledgment under oath before a notary; the property owner named in the acknowledgment signs and acknowledges the instrument before the notary.
How to get this notarized
- 1
Download The Form
Get the Property Owner Utility Services Request from the City of Moses Lake.
- 2
Fill In The Form
Enter the account and effective date details, owner and contact information, service and mailing addresses, and required initials.
- 3
Book An Online Notary
Arrange a session with a commissioned online notary and ask the city whether it will accept remote notarization.
- 4
Sign On Video
Sign and acknowledge the instrument during the online notary session.
- 5
Submit To The City
Send the properly executed form to the City of Moses Lake Utility Department; include government-issued ID instead if filing outside the office without notarization.
Preview the form
The blank PDF straight from Moses Lake. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the utility service request?
- Complete the form and submit it to the City of Moses Lake Utility Department. If you do not file it in person, the form must be notarized or include a copy of government-issued ID.
- Do I need to have this form notarized?
- The form must be notarized or accompanied by a copy of government-issued ID if it is not filed in person with the Utility Department. Confirm with the city if unsure.
- Can I sign the form with a commissioned online notary?
- Washington authorizes its notaries to perform remote online notarizations under RCW 42.45.280. Ask the city whether it will accept your remotely notarized form before submitting it.
- What does the owner agree to by signing?
- The owner declares responsibility for utility payments and acknowledges receiving a monthly statement and paying the balance promptly each month.