Landlord Authorization Form

available via fax   Via Fax
available in person   In Person

A landlord authorization form is to be filled out by the person who is renting a home to a tenant.  This form must be submitted prior to service beginning. 

How to Receive this Service

Please fill out the form and fax to (804) 501-7382 or email to [email protected].

Contact Us

Customer Service
(804) 501-4275
[email protected]

Public Utilities

(804) 501-4275
Phone After Hours (Emergency Only)
(804) 501-5025

[email protected]

Mailing Address
P. O. Box 90775
Henrico, VA 23273-0775

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