CARMA Move in Confirmation – Rent Unit US

Before moving, please notify Carma Billing Services at least 1 week prior to your move. We will read your meter and send the final bill to your new address. If applicable, your security deposit will be applied to your final bill; any credit balance will be mailed to you. Failure to notify us may result in additional charges.

Customer Moving Form – Rent Unit US

PLEASE COMPLETE APPLICABLE FIELDS IN ORDER FOR INFORMATION TO BE PROCESSED.

* Indicates a required field.

Date of Lease Start

Date:*

Service Address

Street Address:*

City:*

State:*

Zip Code:*

Primary Account Holder Name

First:*

Last:*

Email Address:*

Primary Telephone Number

Primary Phone Number:*

Mobile Number

Mobile telephone:

Business Number

Business telephone:

Date of Birth

Date:*

Identification

Identification Type:*

Identification Number:

Secondary Contact

First:

Last:

Mailing Address (if different from Service Address Above)

Street Address:

City:

State:

Zip Code:

Landlord Information

Landlord Name:*

Landlord Address:*

Landlord Phone:*

All information submitted through this Form will only be used by CARMA in support of our obligations under the Billing Agreement. This information is being collected and used for billing, collection and auditing purposes only, and will be assigned the appropriate confidentially level on receipt.

I (we) understand that my (our) security deposit, if applicable, will be applied to my (our) account on final billing; should the bill amount be less than the amount of the security deposit, Carma will mail a cheque for the balance to the forwarding address provided above. I confirm that the information provided above is true.

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