Get Fl Authorization For Name Change Form - Polk County 2019-2026

This guide provides a clear and supportive overview for filling out the FL Authorization For Name Change Form for Polk County online. Follow these instructions to complete the form effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the FL Authorization For Name Change Form and open it in your preferred editor.
2. Enter the date at the top of the form. This should be the date you are completing the authorization.
3. Fill in the service address where you are currently receiving water and/or sewer service. Ensure the address is accurate to avoid additional charges.
4. Provide your account number. This number is crucial for identifying your service account with Polk County Utilities.
5. Indicate the deposit amount to be transferred by entering the dollar amount in the provided section.
6. Enter the name of the person the deposit and service will be transferred to. Be sure to write the name clearly.
7. In the section labeled ‘I, _______________________________, accept responsibility...’, enter your full name and ensure you understand the responsibilities.
8. Sign the authorization form where indicated and include your date of birth and driver's license number.
9. Make sure to have your signature acknowledged by a notary public, as the form will not be valid unless notarized.
10. After completing all fields, save your changes to the document. You can then download, print, or share the completed form as needed.

Complete your FL Authorization For Name Change Form online today!