City of Meridian - Utility Billing Renter's Addendum

Fields marked with * are required.

I do hereby declare that I am tenant and therefore a resident at the following address and will be responsible for payment of the City of Meridian Utility Bill.
Address Tenant Occupying - Street *
Address Tenant Occupying - City *
Address Tenant Occupying - State *
Address Tenant Occupying - Zip Code *
Tenant Name: *
Tenant Phone # *
Tenant Email Address

Do you want the bills to go to a different address other than the service address?

Have you previously lived at a Meridian City address?


   I acknowledge that, during my tenancy, I will receive a monthly statement from the City of Meridian with a balance due each month. I agree that I will submit payment for that balance on time each month. If payment is not received each month I acknowledge that my landlord will receive a copy of the delinquent notice sent to my residence. *


   By electronically signing this form I permit the City of Meridian to release any information requested about this account to my landlord. The information released may be, but is not limited to; the account balance, payment history, or delinquency status. *


   I acknowledge that there will be a one-time Renters Fee of $20 assessed to my first bill. *

Driver's License or Other Govt. Issued ID# *
Issuing Agency *  (Idaho DL, Military ID, Etc)

I, the Tenant for this Renter's Addendum, warrant the truthfulness of the information provided in this application.

Electronic Signature * (Please type your First and Last Name)
Acceptance Checkbox  *
  I understand that by signing this document I acknowledge and agree to the above Terms of Acceptance.