Elmhurst Mutual Power & Light > Member Services > Move Out Form

Move Out Form

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

This form must be filled out by an Account Holder, Owner, or designated Management Company

Landlord will remain liable for all unpaid charges to the service address.

Please call (253) 531-4646 with any questions.

Were you renting or did you sell the property?(Required)

Renting

Sold

Account Name(Required)

First Last

Additional Name (optional)

First Last

Phone(Required)

Additional Phone (optional)

Email(Required)

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Forwarding Address

Street Address Address Line 2 City State ZIP Code

Move Out Date(Required)

Cannot submit Move Out request more than 14 days in advance.

Comments

Electronic Signature (Full Name)(Required)

You should get a confirmation email within 48 business hours. If you don’t get an email, we did not get your form. Please verify your email is correct.

Move Out Form

Office Address

Phone Numbers

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