Landlord Permission Form - Cleveland Public Power printable pdf download

Landlord Permission Form - Cleveland Public Power

LANDLORD PERMISSION FORM

(Letter of permission for change electric utility service provider)

CUSTOMER /TENANT INFORMATION:

Please print

Tenant / Resident Name: ________________________________

Street Address: ____________________________________ Unit / Apt #: __________

City: ________________________ State: ____________________ Zip: ____________

Telephone #: _____________________ Cell #: ____________________

Social Security #:_______________________________

I as a tenant at the above mentioned property, represent that I am at least 18 years of age and have

provided accurate information.

Signature: _____________________________________ Date: _____________

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MANAGEMENT/ HOMEOWNER/ LANDLORD’S INFORMATION

Property Name (if applicable): ____________________________________________

Manager/ Homeowner/ Landlord’s Name: __________________________________

Street Address: ____________________________________ Unit / Apt #: __________

City: ________________________ State: ____________________ Zip: ____________

Telephone #: _____________________ Cell #: ____________________

I (we), as the manager/ landlord/ owner of the above mentioned property have

the authority to sign this letter of permission and hereby authorize Cleveland

Public Power (CPP) to install electric service. I (we) understand that the

installation of new electric service includes replacement of the electric meter.

Signature: _______________________Title: ___________________________

Date: ___________________________

Or Mail it to:

Manager, New Residential Services

Cleveland Public Power

1300 Lakeside Avenue

Cleveland, OH 44114‐1135

Landlord Permission Form - Cleveland Public Power