Update My Account Information – Antioch City Hall

This is to update information for existing account holders. For new owners/tenants, please submit an application to start service.

**Please be advised, you must be the account holder to update any info on the water account**

Select Type of Account *

Residential Owner
Residential Tenant
Commercial Owner
Commercial Tenant

Account Number *

Name *

First

Last

Drivers License Number *

Last 4 digits of Social Security Number *

Service Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

This request is to *

Change the mailing address
Provide updated authorized agent information
Add or update the primary telephone number
Add or update the primary email address

(Please select all that apply)

New Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Authorized Agent

First

Last

Authorized Agent Telephone

Authorized Agent Email Address

Primary Telephone Number

Primary Telephone Type

Cell Phone
Home
Work

Primary Email Address

By typing or signing my name below, I verify that I am authorized to make updates to this City of Antioch Water Account. *

CITY OF ANTIOCH
FINANCE DEPARTMENT
PO BOX 5007
ANTIOCH, CA 94531
(925) 779-7060
(925) 779-7054 fax
service@antiochca.gov

Enter an Email Address if you would like to receive a copy of this form

Email Address

Phone