Fillable FORM RESIDENTIAL CUSTOMERS: UPDATE ACCOUNT INFORMATION (City Water, Light, and Power)

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FORM RESIDENTIAL CUSTOMERS: UPDATE ACCOUNT INFORMATION (City Water, Light, and Power)

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UPDATE ACCOUNT INFORMATION
FORM – RESIDENTIAL CUSTOMERS
Use this form to update information in your CWLP residential account.
1. To ensure you will be able to successfully use this form, your computer should be equipped
with Adobe Acrobat or Acrobat Reader 8.0 or higher. You might not be able to print or
submit the form using an older version of Acrobat. Download the most recent version of
Acrobat Reader (free).
2. After opening the form, complete all appropriate fields. (Fields identified by an asterisk
must be filled in before you will be allowed to print or submit the form.)
3. If you wish to print a copy of the form for your files or for manual submission (see #6 below
for instructions on how to submit the form manually), click the Print Form button at the
bottom of the form.
4. If you wish to clear the data you have input into all of the fields, click the Reset Form button
at the bottom of the form.
5. If you wish to submit the form electronically, click the SUBMIT FORM button at the bottom of
the form. A pre-addressed email message box containing your attached form will open.
Now all you have to do is send the email.
6. If you wish to manually submit a printed copy of the form, you can mail or fax it to:
CWLP Customer Service Office
Room 101
Municipal Center West
Springfield, IL 62757
FAX: (217) 789-2026
7. If you have questions about this form or about your CWLP account, call the Customer Service
Office, 789-2030, or email cwlp.customer@cwlp.com.
ACCOUNT INFORMATION
UPDATE – RESIDENTIAL
Please be sure to READ THE INSTRUCTIONS for printing and/or submitting this form electronically BEFORE you
proceed.
Asterisks indicate fields that must be filled in.
Account holder
Name*
Account Number*
Service address
Street Address*
Unit #
City*
State*
ZIP Code*
Change billing address to
Street Address
or P.O. Box #
Unit #
City
State
ZIP Code
Change or add phone number
Home Phone Number
2nd Home Phone Number
Cell Phone Number
Area Code Extension
Area Code Extension
Area Code Extension
continue on page 2
Employment information
Employer Name
Street Address
2nd Street Address
Unit #
City
State
ZIP Code
Work Phone Number
Information provided by*
ACCOUNT INFORMATION UPDATE – RESIDENTIAL, page 2
Area Code Extension
If you are having difficulty printing or submitting this form, it is likely because your computer is not
equipped with an appropriate version of Adobe Acrobat. Please refer back to the instruction page.
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PRINT FORM
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FORM RESIDENTIAL CUSTOMERS: UPDATE ACCOUNT INFORMATION (City Water, Light, and Power)

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Completed 22 July 2021

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