Taylor, MI

DPW: Change of Mailing Address

Water Department
City of Taylor 23555 Goddard Taylor, MI 48180
Water Account Number*
Water Account Address*
New Mailing Address
First Name*
Last Name*
Phone Number*
Email Address*
Address*
City*
State*
Zip Code*
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. Please review the City's website privacy policy.
1. I agree.
Electronic Signature*
Date*
Date

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