Form Center • Snoqualmie, WA • CivicEngage

Instructions

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.
Account Balance*
1. I understand that the balance on my account must be paid in full prior to putting the account into my tenant's name.
Owner Responsible for Water Bill*
1. I understand that as the property owner I am ultimately responsible for the water bill.
Tenant Failure to Pay*
1. I understand that at this time the City is not sending delinquency notices or doing shutoffs due to the pandemic, so if my tenant does not pay, the balance will be transferred to me.
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Closing Date and Service Address

Closing Date*
1. I understand that the City of Snoqualmie does not prorate tenant accounts. Tenant accounts will close on the last day of the month and begin on the first day of the month specified.
I would like the City of Snoqualmie to open my tenant's account on the first day of the following month:*
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.
Service Address*
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Owner's Information

First Name
Last Name*
If property manager is not authorized, owner must submit Property Manager Authorization form found on the Water Services page of the website.
Mailing Address
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.
City
State
Zip Code
Phone #
Duplicate Billing
1. Please check here if you would like a duplicate bill sent to your address. By checking this box, you acknowledge that you have provided the correct mailing address above.
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Tenant Information

First Name*
Tenant's Name
Last Name*
Mailing Address
Please provide a mailing address, if different from service address. If not, leave blank.
City
State
Zip Code
Phone Number*
Email Address
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Terms and Conditions

Initial Here*
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.
Initial Here*
I understand that I must sign a new Start Service Form for each new tenant. 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.
Initial Here*
I certify that I am the legal owner or authorized agent of the service address named above. By entering my initials, I authorize the City of Snoqualmie to close the current utility account for said service address and open a new account in my tenant's name.
Signature*
Please type your signature
Date of Signature*
Date of Signature
Email Address*
Please provide an email address for questions about your form.
Payment
Online Bill Pay
You can make a one-time payment by clicking the link above and selecting Quick Payment:
For questions, email Heather Florida at hflorida@snoqualmiewa.gov

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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