Step 1 of 3 33% Account Number* Date* MM slash DD slash YYYY Current Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code New Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please select a reason for change: Change of Address Marriage Marriage (A copy of the marriage certificate required) Death (A copy of executor documents is required) Legal Name Change (A copy of court document showing name change is required) Divorce (A copy of the divorce decree showing possession of the property is required) Existing Account Holder information:Name on Account* First Last Driver’s License/State ID Number:* State Issued* Phone Number*Email Address* New Account Holder informationProof of ownership is requiredPlease change the name on the account to* First Last I am the account owner for the property listed above, and I hereby request the change on this account as indicated above. Driver’s License/State ID Number:* Photo ID Upload*Max. file size: 50 MB.Please upload a state or federal photo ID. Phone Number*Email Address* Proof of Ownership Drop files here or Select files Max. file size: 50 MB. Signature of NEW account holder Reset signature Signature locked. Reset to sign again Please download (click here) the Declaration of Domicile for Purchase of Residential Utilities for exemption from Kentucky sales and use tax per KRS 139.470(7). After downloading, upload the executed document below, or alternatively you may email to newaccounts@hcwd2.orgDeclaration of Domicile Document UploadMax. file size: 25 MB.Please be advised, forms received without required documentation and proof of property ownership will not be processed. CommentsThis field is for validation purposes and should be left unchanged. Δ
