Skip to Main Content
Roseville Declares City-Wide Curfew
COVID-19 (Coronavirus) Updates
I Want To…
Select a Category
Parks & Recreation
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
You must select one of the following to continue
You must choose one of the following to continue
Closing Date / Transfer Date
New Occupant name
Billing Address if Different that Service Address
If Renter, Land Lord Name
Transfer / Closing Date
Forwarding Address for Final Bill
Your Email Address
Do you know the New Occupant's Name?
Name of New Occupant
Is it going back to the Land Lord Name?
Land Lord Name
Land Lord Address
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
Submit and Print
* indicates a required field
Receive City Updates
Agendas & Minutes
COVID-19 Help for Businesses
Bids, RFPs, and RFQs
Slideshow Left Arrow
Slideshow Right Arrow