Get Tenant Billing Authorization Form - Cityofrochester

Completing the Tenant Billing Authorization Form is an important step for property owners who wish to have their water bills sent directly to their tenants. This guide provides clear, step-by-step instructions to ensure users can easily and accurately complete the form online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the 'Account#' field with your water service account number. This information is essential for identifying your account accurately.
3. Enter the 'Service Location' where the water service is supplied, including the full address details.
4. Provide 'Owner Information' by filling out the owner’s name, phone number, address, city/state, zip code, and email address. Ensure that this data is accurate as it relates to your water billing.
5. Complete the 'Tenant Information' section with the tenant’s name, phone, address, city/state, zip code, and email address. This information is required to redirect the billing statements to them.
6. Read the statement regarding the responsibilities of the owner and the implications of delinquent charges on the property’s tax bill. It is crucial to understand these conditions before proceeding.
7. Sign the form where indicated to acknowledge your understanding and acceptance of the terms provided in the form.
8. Enter the date of signing the form in the designated space.
9. Review all the information you have entered to ensure its accuracy. Once reviewed, save your changes, and download or print the completed form for your records.
10. Return the completed form either by mailing it to the Water Bureau at 10 Felix Street, Rochester, NY 14608 or by faxing it to 585-428-6353.

Take the next step by completing the TENANT BILLING AUTHORIZATION FORM online today.