TENANT SERVICE FORM
Erie Water Works
340 West Bayfront Parkway
Erie, Pennsylvania 16507-2004
Please note: This billing service is provided as a courtesy to our customers. The owner of the property remains
legally liable for all charges assessed against his/her property. Please contact our billing office in person, or in
writing, of any changes in tenants. In addition, please order a Final reading if the property is metered when
there is any change in tenants.
Owner’s Name: __________________________________________________
Owner’s Address: __________________________________________________
Owner’s Phone #: (H) ______________(W) ______________ (C) _________________
Owner’s email: __________________________________________________
Service address of Tenant(s): ____________________________________________
Number of Apartments at the Service Address: ________________________________
Account # ______________________________________________________________
Name(s) of Tenant(s) - Please Print:
1. ___________________________ Phone #(s)____________________________
2. ___________________________ Phone #(s)____________________________
3. ___________________________ Phone#(s)____________________________
Property Owner’s Signature: __________________________________________
Date: _________________
Please allow one sheet per individual service address. Thank you.
Please email this form to: PortalSupport@eriewaterworks.org
Final Read Request? Check one:
Yes
No
click to sign
signature
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