Update Emergency Contact Info?

Help us contact you in emergencies!

Customers, please keep your contact information current.  In the event of an emergency, such as a main break or water contamination situation, we need to be able to reach you quickly.  Please fill out the information below and hit send.

The District will never sell or otherwise distribute this information to any other parties.  This information is forwarded directly to our customer service staff and will only be used for contacting you regarding District business matters.

*If enrolled in our online payment system:  your emergency contact email MUST match your online account email.  Our payment system cannot currently hold two distinct email addresses on one account.

**Please note:  this form is only to update email and phone contact info.  For billing address/agent info updates, please call (425) 398-4400.

* Indicates necessary field to ensure all account info is accurate.

1

Name

 *

Name

2

Account Number (if known)

Account Number (if known)

3

Primary Phone

 *

Primary Phone ext.

4

Secondary Phone

Secondary Phone ext.

5

Email Address - must match online account email

 *

Email Address - must match online account email

6

Street Address

 *

Street Address

7

City, State, Zip Code

 *

City, State, Zip Code

City

State: (Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code

8

Message (if any)

Message (if any)

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

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