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.

Government issued ID must be provided to start service.

Tenant Information

Tenant's First and Last Name:(Required)
Spouse/Other First and Last Name:
Is Tenant Mailing Address Different Than the Property Address?(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY

Property Owner Information

Owner's First and Last Name:(Required)
Owner's Mailing Address:(Required)
Property Owner to receive copy of tenant’s bills:
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:
If neither option is selected, the account will be closed and services will be ended.

Property Manager Information

Property Manager Name or Business Name:
Property Manager Address:
Property Manager to receive copy of tenant’s bills:
MM slash DD slash YYYY
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
This field is for validation purposes and should be left unchanged.