2. Final Meter Reading Request

4. Physical Address*
6. Owner Name(s)*
8. Is this request being submitted by the owner?*
   -- Select One --YesNo
10. Name(s) of Third Party Submitting the Request:
12. Relation to the Owner

    (Realtor, attorney, closing agent, etc.)

14. Please list the email address where final reading form is to be sent:*
16. Closing Date*

    mm/dd/yyyy

18. Meter Photo Upload*

    Please upload a photo of the meter face with the final reading clearly displayed. To wake up your meter, shine a strong light on the face for 20-30 seconds. 

    Additional guidance on how to identify, read, and wake your meter can be found HERE.

20. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
22. Electronic Signature*
Leave This Blank:


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

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field