Neenah Utilities - Active Account Change Request

Please use this form to make changes to an active utility account. Changes may only be made by an individual currently listed on the account.

If you are moving in or out, please use this form.

Allowable changes include:

-Adding a name to an account

-Removing a name (Individual would no longer be able to access account, and may require additional documentation depending on circumstance)

-Changing a mailing address

-Updating contact information (Phone number, email, etc.)

Service Address

Utility Account Number

Your Name (Must Be Listed on Account in Order to Request Changes)

Requested Changes - Please List Any Below

Authorization

I certify I am authorized to request the above change to this Neenah Utilities account.