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2. The purpose of this form is to allow residents and property owners in the Village of Menomonee Falls to update their utility billing address online. All forms are submitted to the Utilities Department which can also be reached at utilities@menomonee-falls.org or (262) 532-4800. 

4. First Name (of person completing this form)*
5. Last Name (of person completing this form)*
7. Primary Phone Number*
8. Email Address*
10. Utility Billing Account Number*

    If you do not know your Utility Billing Account Number, simply type "N/A" in this field and then provide your Service Address in the next field.

11. Property/Service Address (Address & Street Name)*

13. NOTE: If we do not have contact information (email and/or phone number) of the person completing this form, we will not update the billing address for the utility bill.

17. Former Billing Address (Address & Street Name)*
19. Former City*
20. Former State*
21. Former ZIP Code*
25. Updated Billing Address (Address & Street Name)*
27. Updated City*
28. Updated State*
29. Updated ZIP Code*
31. Effective Date*

    Please enter the date that this billing address change will take effect. 

32. Reason for Update*
    -- Select One --Home/Property SaleTemporarily AwayName Change OnlyRental

    Please select one from the drop-down menu.

34. Move-In Date

    Only Required if "Rental" was selected from previous Drop Down Menu.

35. Purchase Date

    Only required if "Home/Property Sale" was selected from previous Drop Down Menu.

37. Additional Notes
Leave This Blank:


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

    This field is not part of the form submission.

43. Submit

* indicates a required field