Service Address (the "Property"):
Property Owner Terms
• The legal Property owner is ultimately responsible for all charges for utility services provided to the Property and is responsible to
pay the account balance in full, including all penalties and collection costs if applicable, if the alternate party named does not.
Billings made in the name of the alternate party are for convenience only; it does not relieve the Property owner, from liability to
pay for service provided to the Property.
• The Property owner will receive past due notification of delinquent account status. Reference: RCW 35.21.217.
• Pursuant to the Revised Code of Washington, Chapter 35.21, and Renton Municipal Code, Chapter 8-1, delinquent charges shall
become a lien against the Property. Liens will be filed with the King County Recorder's Office by the City of Renton, if necessary.
Alternate Billing Terms
• The combined utility bill will stay in the name of the Property owner and retain the existing account number.
• The “alternate” party named on this form will be billed effective the next billing cycle and a $5.00 set up fee will be assessed.
• This Alternate Billing Agreement will automatically terminate if the account becomes delinquent (45 days from the billing date) or
the alternate party named notifies the City that they are no longer associated with the property.
• Each time there is a change of tenant it voids this authorization. Property owners must submit a new form for each new tenant and
a $5 alternate billing fee will be assessed to the account. Alternate billing is a courtesy and the City reserves the right to refuse to
add an alternate party billing to any account.
• The City will not prepare final bills for rental properties or attempt to collect a past due balance from a prior occupant. A per diem
will be provided on utility statements for property owners to prorate bills between tenants.
By signing this document I certify that I have read, understand and agree to abide by the terms of this request for tenant billing.
Printed Name:______________________________________Signature______________________________________________Date: ____/____/____
Signature of Property Owner or Property Manager
Please select and provide one of the following documents:
1055 S Grady Way - Renton, WA 98057 Phone: (425) 430-6852 Fax: (425) 430-6855 Email: ub@rentonwa.gov www.rentonwa.gov
Effective: 1/1/2021 RMC 5.4.125 Rental Registration Program
Commercial
Multi-Family
Utility Account #
Remove Existing Direct Debit Banking Information
Please send the utility billing statement to the following party:
Please Note: If you have autopay setup online, login to your account to remove this option. Accounts set up on direct debit through the city
will continue to autopay unless you request removal of banking information.
On-Line payments and ebilling - If you prefer not to submit this form you can provide your tenant with your account number and they can
set up an account at www.rentonwa.gov/ub with their email address to view account history, receive estatements and submit payments.
CITY OF RENTON
Utility Billiing
Non-Residential Alternate Billing Agreement
Property Type:
Daytime Phone No.
Email:
Daytime Phone No.
Email:
Property Manager/Bill
Payer/Other
Mailing Address, City, State, Zip
Mailing Address, City, State, Zip:
Renton Business License No.
Name:
Name:
Non-Residential Tenant
Renton Business License No.
Property Owner: A legible copy of the owner's driver's license or state identification must be submitted with this form to verify the owner's signature.
Alternate Party: A letter of authorization printed on official Company letterhead or a signed copy of a current management contract.
Phone No.
Email:
Mailing Address, City, State, Zip:
Name:
Property Owner Information:
