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Change, Add/Remove Name on Account

  1. CITY OF BLYTHE
    UTILITY DEPARTMENT
    CHANGE, ADD/REMOVE NAME
    235 N BROADWAY BLYTHE, CA 92225
    760-922-6161 EXT 1233 or 1234

  2. PLEASE CHECK BOX

  3. NAME TO BE REMOVED:

  4. NAME TO BE ADDED/CHANGED:

  5. FOR NAME THAT IS BEING ADDED/CHANGED:

  6. Leave This Blank:

  7. This field is not part of the form submission.