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2. Account Information

   Filling out this form only make changes with the Utility Department.

   If you also need to change your Tax Bill Address please also complete the Tax Bill Change of Address Form here, which is sent to Sauk County.

4. Account Number*

   (enter as 001-????-00)

6. Name(s) on account*
8. Service address of account*
10. Apt/Unit Number
12. New mailing address*

    Street Address

14. Address Line 2
16. City
17. State
18. Zip Code
20. Phone*
22. Email Address*
24. Effective date*
    Effective date
26. Other instructions
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field