Utility Account Information Submission

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Please correct the field(s) marked in red below:

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The Utilities Department for the City of Grand Island, NE is looking to update their records for all customers. 

This information will be used to alert customers regarding outages in their area or provide citywide for a Utility issue that will impact all customers.

1
What is your name?
 *
2
What is your customer number?
 *
3
What is your account number?
 *
4
What is your email address?
5
What is your primary phone number?
6
What is your social security number?
7
What is your drivers license number?
8
Do you understand that by providing this information you consent to being contacted by the City of Grand Island Utilities department for Utility related issues?
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.