Moses Lake, WA · Grant County
Request for Utility Account Changes
This form lets a Moses Lake utility account holder request a legal name change, mailing address change, or garbage and ambulance utility service change due to vacancy.
What this form is
Use this form to request a legal name change, mailing address change, or discontinuation of garbage and ambulance utility service due to vacancy. It asks for account and service details, the effective date, and information for the requested change. For a legal name change, it requests current photo identification; for vacancy-related service changes, it asks for stop and resume dates, with a note about resuming service if the resume date is blank.
Who needs it
A Moses Lake utility account holder who needs to change the account name or mailing address, or discontinue garbage and ambulance utility service due to vacancy.
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 signer just signs and dates it, and a legal name change requires current photo identification.
How to submit this form
- 1
Download the Form
Download the Request for Utility Account Changes PDF.
- 2
Complete Account Details
Fill in the account number, effective date, account holder, phone number, and service address.
- 3
Select and Describe Changes
Select each change that applies and provide the requested name, mailing address, or service dates.
- 4
Gather Required Identification
Include current photo identification if requesting a legal name change.
- 5
Sign and Submit
Sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What changes can I request with this form?
- An account holder can request a legal name change, a mailing address change, or discontinuation of garbage and ambulance utility service due to vacancy.
- Do I need a notary for a utility account change request?
- No. The signer signs and dates the form without a notary. A legal name change requires current photo identification.
- How do I submit the utility account change request?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Request for Utility Account Changes doesn’t need a notary — but if you have another Moses Lake form that does, a commissioned online notary can help.