This form must be filled out by the legal property owner. If you are the tenant, please ask the owner to submit this form. If you are a Property Manager, please ask the owner to fill out the Property Manager Authorization form also found on the Water Services page of the website.
Please type the month you would like your tenant's account to open. In most cases we can open their account during the present month or a future month, provided that the current account balance is paid in full.
If property manager is not authorized, owner must submit Property Manager Authorization form found on the Water Services page of the website.
Please provide a mailing address different than the service address so we can mail you a copy of any delinquency notices your tenant may incur.
Tenant's Name
Please provide a mailing address, if different from service address. If not, leave blank.
I understand the City of Snoqualmie will bill the tenant/authorized agent named above for water and sewer service as a third party, but as the owner of said property I am fully responsible for any and all unpaid bills left by the tenant/authorized agent. I shall take responsibility for any necessary deposits from the tenant/authorized agent to ensure payment of a past due bill. Should this account become delinquent, water service will be subject to termination under the policies of the City of Snoqualmie and shall not be reinstated until all debt to the city has been paid. The City of Snoqualmie will notify me, the owner, of the tenant/authorized agent's past due account status subject to disconnection of service.
I understand that I must sign a new Request for Alternate Billing for each new tenant/authorized agent. If the person authorized to receive the billing notifies the City of Snoqualmie that they are vacating the property, the billing will automatically revert to me. Until the balance on this account is paid in full, the city cannot change the name on this account to a new tenant/authorized agent. A $50.00 new account service fee will be included in the first billing to each new tenant/agent.
I certify that I am the legal owner of the service address named above. By typing my name below, I authorize the City of Snoqualmie to close my utility account for said service address and open a new account in my tenant's name.
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Please provide an email address for questions about your form
You can make a one-time payment by clicking the link above and selecting Quick Payment:
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