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Authorization to Make Changes

  1. CITY OF FATE LOGO
  2. Authorization to Make Changes
  3. Change of Address:
    I hereby request and authorize the City of Fate to change my mailing address. A copy of a drivers license or ID is required, this can be provided in office, emailed, faxed, mailed or in the drop box.
  4. Add Additional Account Holder:
    I hereby request and authorize the City of Fate to add the following name to my utility account. A copy of the current and additional account holder's drivers license or ID is required, these can be provided in office, emailed, faxed, mailed or in the drop box.
  5. Internal Use Only
  6. Date: _____________________
  7. Received by: ____________________
  8. Phone: 972-771-4601 Opt 2
  9. Email: utilities@fatetx.gov

  10. Fax: 972-722-8266
  11. Leave This Blank:

  12. This field is not part of the form submission.