Form Center • Snoqualmie, WA • CivicEngage

Property Owner's Information

Instructions
If you are a property owner who wants to authorize an agent to manage your property's utility bills on your behalf, please complete the following form.
Service Address*
Please enter the service address that appears on your utility bill
First Name
Last Name*
If utility bill is in your business' name, enter that here instead of your last name
Property Owner's Address*
Please provide a mailing address different from the service address, so we can contact you if needed.
City*
State*
Zip Code*
Phone Number*
Check Here*
1. I certify that I am the legal owner of the service address listed above.
Continue

Please Check All:*
By Checking the Boxes Below, I understand the following to be true:
1. The City of Snoqualmie will not send me delinquency notices; instead my authorized agent will receive them on my behalf.
2. My agent is authorized to start and stop service for tenants on my behalf.
3. It is my responsibility to ensure the City of Snoqualmie is notified when an agent is no longer authorized.
4. If a tenant or authorized agent leaves a balance on my account, I am ultimately responsible and the City of Snoqualmie may place a lien on my property until all outstanding charges are paid in full.
Please check*
1. By typing my name below, I authorize agent listed above to manage my property at the service address listed on this form.
Property Owner's Signature*
Please Type First and Last Name
Date*
Date
Owner's Email Address*
Please provide an email address where you can be contacted should we have questions about this form.
Questions
If you have any questions about this form or any content contained herein, please email hflorida@snoqualmiewa.gov for clarification.

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