Is Your Utilities Information Up to Date?

To ensure receipt of any alerts, notices, water shut‐offs, or emergency notifications regarding your utility services, the City of Orange City is requesting all customers to provide their most up to date contact information. Please note, if you are moving, this form does not initiate any changes to your account. Please call 712-707-4885 to indicate a change in services.

Name(Required)

First Last

Utilities Account Number

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Is your mailing address different?

Yes

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Is Your Utilities Information Up to Date?

City of Orange City

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