Form Center

2. Moving Out?

   Thank you for being a utility customer in Burnsville! Since the City bills water usage for the previous month, a final billing for water used through your move out day will need to be generated.

   * indicates a required field

4. For customers who use the Automatic Payment option, please note that the final bill will NOT be drafted from your checking account. A final bill will be mailed and a manual payment will be required for your final payment.
8. Please provide the following move out information:
10. Occupant First Name*
    As it will appear on the bill.
11. Occupant Last Name*
    As it will appear on the bill.
13. Service Address*
14. City*
15. State*
17. Account Number
    Located on your monthly statement.
19. Forwarding Address*
    Where to mail final bill. Please include an apartment/suite number if applicable.
21. City*
22. State*
23. Zip Code*
25. Email Address*
27. Phone Number*
    The best number to be reached at.
28. Phone Number
    Second best number to be reached at.
30. Did you own or rent the property?*

    1. Own

    1. Rent
32. Moving Date or Change of Possession Date*
33. Name of New Occupant if Known
37. Once this form is submitted, utility billing staff will use the information provided to create a final billing based on the information provided. Please consider your submission as confirmation of receipt. Utility staff will reach out if there is an issue with the information provided.
39. If for any reason the move out date changes, please notify utility billing as soon as possible at utilitybilling@burnsvillemn.gov to avoid incorrect billings.
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field