Forms • Highland City, UT • CivicEngage

Mailing Address Change

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Please use this form to request the mailing address be updated for where the physical statements are sent. Note that this is not a form to request a change to the account name, or to change/transfer the services to a new address; this form is only to adjust the mailing address where the utility statements are to be received. If you prefer to receive your statements via email, this process will need to be completed on Xpress Bill Pay's website.

Xpress Bill Pay

Account Name(s):*

Account Number:

Service Address:*

Mailing Address Changes

Street Address:*

City:*

State: *

Zip Code:*

Contact Phone Number:*

Email Address:

Additional requests or notes:

I/we certify that I/we hereby are requesting the mailing address for utility statements sent by Highland City be forwarded to an address different than the service address. I/we hereby affirm that I/we am/are the current property owner of record and therefore authorized to make this account change request.*

Yes

INTERNAL USE

Date Completed:
Staff Initials:

* indicates required fields.

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