North Fork of the Blackfoot River

Member Name Change Form

Member Name Change Form

The attached Name Change Form is provided for MEC members who choose to keep their existing service, but require a name change on their account due to marriage, divorce or another legal name change. Note: if there is an existing balance on the account, the balance will remain unchanged.
    Please note: You will be prompted to upload supporting documents prior to submission. Marriage - a copy of marriage certificate and driver's license. Divorce - a copy of divorce decree and driver's license. Other Legal Name Change - legal supporting documents and driver’s license.
  • Please upload the following: Marriage - a copy of marriage certificate and driver's license. Divorce - a copy of divorce decree and driver's license. Other Legal Name Change - legal supporting documents and driver’s license.
    Drop files here or
    Max. file size: 20 MB.