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UTILITIES - Transfer Service Request

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Notice: Copy of Driver's License required before service can be transferred

PLEASE EMAIL A COPY OF YOUR DRIVER'S LICENSE TO UTILITIES@SULPHUR.ORG

YOUR SERVICE WILL REMAIN UNCHANGED UNTIL WE RECEIVE SERVICE TRANSFER REQUEST, NEW RESIDENTIAL APPLICATION FORM AND COLOR COPY OF LICENSE.

If more information is needed, the City will contact you at the email address or phone number you provided.

* Denotes a required field

Today's Date*

MonthDay Year,

Requested Date*

MonthDay Year,

Customer Name*

Last 4 of SSN*

Last 4 of Driver's License*

Service Address*

Email Address*

Confirm Email Address*

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

BELOW: PLEASE PROVIDE NEW SERVICE ADDRESS*

My Old Service Will Final On:*

MonthDay Year,

My New Service Will Begin On:*

MonthDay Year,

Additional Information

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