Tenant Billing Request Form

I would like to have Eastsound Water send a copy of the water service bill to a third-party. This third-party could be a renter/tenant, another family member, a bookkeeper, or a property manager. I am aware that as the Eastsound Water member and owner of the property, that I am ultimately responsible for all service fees, late fees, and penalties that might accrue on my account due to failures of the third-party. Eastsound Water does not “pro-rate” bills to support tenant changes in the middle of a billing cycle.

Tenant Billing Authorization:

I am the member/owner of this property and understand and accept the above terms.

Member/Property Owner First Name: *

First

Last *

Last

Member Service Address: *

Member Service Address:

Eastsound

98245

United States

Member Email: *

Member Location Number (located on your bill):

Tenant 1:

Tenant First Name: *

Tenant Last Name: *

Tenant Phone: *

Tenant Email: *

Tenant 2:

Tenant First Name: *

Tenant Last Name: *

Tenant Phone: *

Tenant Email: *

If you are human, leave this field blank.