Update Information Form – Liberty Lake Sewer and Water District

NOTICE
This form is intended to begin the process of initiating account updates with the District and is in no way a contract or binding agreement.
If you have questions regarding billing, or this form, please contact Tricia Poitevint (509) 922-5443 or info@libertylake.org.

Request Type How may we help?(Required)

Change Mailing Address

Update Contact Information

Duplicate Statement (to Service Address only)

Role I am the…(Required)

Owner

POA/Trustee

Owner with Property Manager

Account Number(Required)

Service Address(Required)

Address where Sewer and/or Water services are provided

Owner Information

Owner Name(Required)

Owner Name

Owner Phone(Required)

Owner Phone

Owner Email(Required)

Owner Email

Owner Name 2

Additional Owner Name

Owner Phone 2

Additional Owner Phone

Owner Email 2

Additional Owner Email

Owner Billling Address(Required)

Must be different from Service Address

Street Address Address Line 2 City State ZIP Code

Property Management

Property Management Company(Required)

Property Manager Agent Name(Required)

Agent Name

Agent Phone Number(Required)

Property Manager Email(Required)

Property Manager Billling Address(Required)

Must be different from Service Address

Street Address Address Line 2 City State ZIP Code

Duplicate Copy(Required)

Yes

Do you want a duplicate copy of your statement to be sent to the service address?

Name(Required)

Name to be listed on the duplicate copy?

Owner Acknowledgement

Unlike other utilities, water and sewer charges are associated with the property rather than the tenant who incurs the charges. The account for water and sewer services provided in the District is listed in the name of the owner of the property and the District’s billing statement will be sent to the owner at the owner’s address.

The Owner is making written request that the District sends a duplicate copy of the bill to the address of the property, if different than the Owner’s address. In such event, the District will send a duplicate copy of the bill and any and all notices to the address of the property, but also will send of the original bill and any and all notices to the Owner at the Owner’s address. While the Owner of the property may make arrangements with a tenant on the property to pay the District’s bill for such property, the Owner ultimately is responsible for payment of all charges on the account, including any unpaid account balance, late fees, or reconnection fees. Tenants will only be listed on the account for water and sewer services as a courtesy for notification purposes.

The District shall presume that the Owner’s address for all purposes related to this property is the physical address of the property unless the Owner notifies the District otherwise in writing providing the District with the correct mailing address, including street address, and e-mail address, and phone number. The Owner is responsible for notifying the District immediately in writing of any change in the Owner’s mailing address, street address, e-mail address, phone number.

Terms And Conditions(Required)

I have read the above statement and understand that the owner is responsible for service.

Name

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