North Fork of the Blackfoot River

Moving Out of Area Form

Name(Required)
Service Address(Required)
Seasonal?(Required)
If this is a seasonal disconnection, please note that there is a $100 reconnection fee when service is re-started.
Forwarding Address(Required)
Please provide a forwarding address in order to receive your final bill and receive future capital credit checks and correspondence.
If you need to back-date this request, please contact our office at 406.541.4433. We can only accommodate a request back to the 1st of the current month, with approval of the new occupant.
MM slash DD slash YYYY
Please select if you are the tenant or the owner(Required)

New Occupant/Landlord/Realtor Name(Required)
This information ensures the new occupant does not experience a service interruption. We appreciate any information you are able to provide to ensure a seamless process for all parties. Thank you!