TENANT BILLING AUTHORIZATION FORM - cityofrochester: Fill out & sign online

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Click ‘Get Form’ to open the TENANT BILLING AUTHORIZATION FORM in the editor.
Begin by entering your Account Number and Service Location at the top of the form. This information is crucial for identifying your account.
In the OWNER INFORMATION section, fill in your name, phone number, address, city/state, zip code, and email address. Ensure all details are accurate to avoid any issues.
Next, move to the TENANT INFORMATION section. Input the tenant's name, phone number, address, city/state, zip code, and email address. This ensures that billing is directed correctly.
Carefully read the terms outlined in the agreement regarding delinquent charges and responsibilities. After understanding these terms, sign and date the form at the bottom.
Finally, return the completed form either by mailing it to the Water Bureau or faxing it as indicated on the document.

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