Move Out Form
Please complete this form if you are moving out and not responsible for the billing at this address.

If you are moving out of an apartment complex you may not need to submit this form. Please contact your apartment manager before submitting.

If you wish to sign up for new service click here.
Please allow 1-2 business days to process orders.
Peninsula Light does not connect or disconnect service after hours or on weekends or holidays.

NOTE: Fields marked * are required. Incomplete applications will not be processed.
Please provide the name on your account and account number:
*Full Name:
Peninsula Light Account Number:

Do you own or rent the residence?
*Own/Rent: Own Rent

Owner, please provide the following information:
Did you sell the residence?:
Do you want to turn off electric service?:
Is a tenant moving in?:
If a new tenant is moving in, please call Member Services at 253-857-5950 to proceed.

If renting, please provide owner or property manager information here:
Owner/Manager Name:
Owner/Manager Phone Number:
Are you moving out of an apartment?
Moving from Apartment:
If Yes, please select the apartment.

What is the Move Out date?
*Move out date:    (MM/DD/YYYY)
If the Move Out date was prior to today, we are only able to back date the move out to the last read date it was billed to.

What is your Pen Light service address:
*Service Address:
Apt/Lot (if applicable):
*Current State:
*Current Zip:

Please provide your forwarding address:
*Forwarding Address:
*Forwarding City:
*Forwarding State:
*Forwarding Zip:

Please provide contact information:
*Primary Contact Phone Number:
Secondary Contact Phone Number:
*Request Submitted By:    (Full Name)
*Email Address:
If you are leaving our service area, please contact us regarding your $100 membership fee.

Uploading ...
kb   of   kb %