Sewer Customer Change Request

* Required Fields

Sewer Project Name:   *
Account Number (if known):    *
Customer Name:    *
Service Address:    *
City/State/Zip:    *
Customer Type: Previous New *
If Previous Customer, last day at address: xx/xx/xxxx
New Address, if different than above:
New City/State/Zip, if different than above:
New Customer, First Day at this address: xx/xx/xxxx
Phone: *
Fax:
Email:   *
Requested Return Method:
Comments:


Drain Commissioner email: eMail the Drain Commission Office
East Complex 2300 E. Grand River Avenue  Suit 105| Howell, MI 48843
Phone 517.546.0040 | Fax 517.545.9658

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Last updated:  Tuesday, April 10, 2012  Updated by:  D. Gregor