Utility Bill Rental Authorization - English

Owners/Property Managers of rental property must complete this authorization form to inform the City of the person(s) renting the property and where duplicate landlord bills are to be mailed.

Must Fill Out All Required Fields

Owners/Property Managers of rental property must complete this authorization form to inform the City of the person(s) renting the property and where duplicate landlord bills are to be mailed. Owners/Property Managers will automatically receive late notifications for tenant’s account. **Please make sure to review the Utilities Website thoroughly and visit the Utility Pages & Ordinance Links found on this site, for important information regarding utility services for properties within the City of Yakima.

*The utility account created pursuant to this form shall be subject to all laws of WA State and the City of Yakima.

Property Address(Required)

Government issued ID must be provided to start service.

Tenant Information

Tenant's First and Last Name:(Required)

First Middle Last

Spouse/Other First and Last Name:

First Last

Is Tenant Mailing Address Different Than the Property Address?(Required)

Yes

Tenant's Different Mailing Address:

Tenant Contact Phone Number:(Required)

Additional Phone Contact:

Lease From (begin date):(Required)

Lease To (end date):

Property Owner Information

Owner's First and Last Name:(Required)

First Middle Last

TRUST, LLP, LLC, Corporation Name (if applicable):

Owner's Mailing Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Owner's Driver's License Number or Tax Identification Number:

Owner's Phone Number:(Required)

Additional Phone Contact:

Property Owner to receive copy of tenant’s bills:(Required)

Yes

When the tenant or non-property owner notifies the City of Yakima that they are leaving the property please select which option you want the City to take:

Disconnect Service

Continuous Service- Revert to Onwer

-If neither option is selected, the account will be closed and services will be ended.

Property Manager Information

Property Manager Name or Business Name:

Name

Property Manager Address:

Street Address City State / Province / Region ZIP / Postal Code

Property Manager Phone Number:

Additional Phone Number:

Property Manager to receive copy of tenant’s bills:

Yes

Enter email to receive a copy of this form:

Date(Required)

Signature(Required)

I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

For More Information

Please make sure to review the Utilities Website https://www.yakimawa.gov/services/utility-services/ thoroughly and visit the Utility Pages & Ordinance Links found on this site, for important information regarding utilities services for properties within the City of Yakima.

Phone

This field is for validation purposes and should be left unchanged.

City of Yakima

Utility Bill Rental Authorization – English

Must Fill Out All Required Fields

Tenant Information

Property Owner Information

Property Manager Information

For More Information

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