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2. This form is for Starting, Stopping  OR Transferring Utility Services with the City of Buffalo

   Please call the Utility Billing office for further questions in regards to your utility services at 763-682-1001

4. Please check appropriate box

   1. Moving In
   2. Moving Out
   3. Transfer Service (moving within the City of Buffalo to another residence within the city limits)
6. This Section is for Moving IN or Transferring Service
8. Enter Moving Date
9. How many occupants will be living in the household?
11. New Address

    Buffalo, MN  55313

13. *If Transferring Service list Address you are Moving From

    Buffalo, MN 55313

15. Primary Contact Information
17. First Name
18. Last Name
20. Phone Number
21. Email Address
23. Secondary Contact Information
25. First Name
26. Last Name
28. Phone Number
30. Emergency Contact Name
31. Emergency Contact Phone
33. Do you own or rent your residence?*

    1. Own
    2. Rent

    If you are renting please list your Landlord's information 

35. Landlord Name
36. Landlord Phone
38. Landlord Address
40. City
41. State
42. Zip Code
44. Garbage & Recycling
46. Recycling

    1. 35 Gallon Can - $2.50 Monthly
    2. 65 Gallon Can - $2.50 Monthly
    3. 95 Gallon Can - $2.50 Monthly
47. Garbage Can Size

    1. 35 Gallon Can - $7.50 Monthly
    2. 65 Gallon Can - $14.00 Monthly
    3. 95 Gallon Can - $23.00 Monthly
48. Blue Bag Organics (No Extra Charge)

    1. Yes
    2. No
52. This Section is for Moving OUT of the City of Buffalo
54. Enter Moving Date
56. Name
57. Phone Number
59. Address you are Moving From

    Buffalo, MN  55313

60. Email Address
62. Forwarding Address (Required for mailing your final Utility Bill)
64. City
65. State
66. Zip Code
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field