City of Edina Form Center

2. Who Should Fill This Out This Form?
   • Homeowners 
   • Property owners
   • Landlords

   Fill out and submit to begin receiving bills for City-provided utilities at a house or residence.

4. Tenants or Renters - Do Not Submit This Form

   You can receive a duplicate bill at the owner's request by emailing Utility Billing at [email protected]

6. Service Information
8. Service Address*
10. Effective Date/Date of Closing*
    Effective Date/Date of Closing
11. Is the New Resident at This Service Address...*

    1. New to Edina
    2. Current or Previous Edina Resident
    3. Don't know
13. Billing Information
15. Homeowner Number 1 Name*
17. Homeowner Number 2 Name
19. Billing Address
    If different from service address
21. City
22. State
23. Zip
25. Country
    If other than USA
27. Email*
28. Phone*
30. Public Data Advisory*

    Most or all of the information on this form is considered public record and would be release upon request.

    1. I have read and understand the Public Data Advisory
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field