Third Party Notification Form

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First & Last Name on Account*
12-digit Account Number*
Phone*
PIN*
Email
Date of Birth*
MM slash DD slash YYYY
Who should be notified about interruption of service?
Enter Your Service Address Below
Street Address City ZIP Code
Notification Name*
First Last
Notification Phone*
Notification Email
Captcha

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Huntsville Utilities is an equal opportunity residential utility service provider. We do not discriminate in the terms, conditions, or provision of services based on race, color, religion, sex, disability, familial status, or national origin.

Huntsville Utilities es un proveedor de servicios residenciales publicos (electricidad, gas y agua) que ofrece igualdad de oportunidades. Nosotros no discriminamos en los terminos, las condiciones, o las provisiones de nuestros servicios basados en la raza, religion, color, sexo, discapacidad, estado familiar u origen nacional.

Third Party Notification Form

Who should be notified about interruption of service?

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