Bill history authorization form

 
1.
Please enter the billing contact information. (Billed to name and address)
 
 
2.
Please provide the name of your electricity provider and your account number(s) and/or meter numbers from your bill. If you are not interested in a review of your electric bills, please enter N/A.
 
 
3.
Please provide the name of your natural gas provider and your account number(s) and/or meter numbers from your bill. If you are not interested in a review of your gas bills, please enter N/A.
 
 
4.
Please provide the name of your water and sewer provider and your account number(s) and/or meter numbers from your bill. If you are not interested in a review of your water and sewer bills, please enter N/A.
 
 
5.
Please enter your name and your city of birth as your electronic signature. This will authorize JIT Services to request historical utility information from the utility companies you provided for the accounts listed. It does not authorize us to make changes to your rate or billing information - it is solely for information purposes.