Transfer Service from one address to another with MLGW.

To transfer utility service, complete and submit this form. A connection fee of $44 will appear on your first service billing statement. Service requests are normally completed Monday - Friday, 8:00am - 4:00pm. (Excluding Holidays)

If your service request needs to be completed within 2 business days,  please do not use this form.  Call 901-820-7878.


 * Required Fields
  Step 1: Primary Applicant Information
Existing MLGW Account Number:   *
xxxxx-xxxx-xxxx-xxx            Located on Bill
First Name:   *
Middle Name:  
Last Name:   *
Social Security Number:   *
Driver's License Number / State ID:   * ST: *
Date of Birth:
 
Marital Status:   *
Employer:   *
  Step 2: Co-Applicant Information
     * If this is a Joint Account, complete Co-Applicant information.
  Spouse  Other  None
First Name:   *
Middle Name:  
Last Name:   *
Maiden Name:   *
Social Security Number:   *
Driver's License Number / State ID:   * ST: *
Date of Birth:
  
Marital Status:   *
Employer:   *
  Step 3:  Current Service Address
  Own  Rent
House Number:   *
Street Name:   *
Apartment Number:  
City:  *
State:  TN
Zip Code:   *
Date Service Will End:   *
Service requests are worked Monday - Friday, 8:00am - 4:00pm, excluding holidays.

Is anyone at the current service address on Life Support Equipment? 

Yes  No 
  Step 4: New Service Address
  Own  Rent
House Number:   *
Street Name:   *
Apartment Number:  
City:   *
State:   *
Zip Code:   *
 Step 5: Utility Service(s)
To be turned on:  Electric      Gas      Water  *
   * MLGW does not provide water to Collierville, Bartlett, Germantown
Service Start Date:   *
Service requests are worked Monday - Friday, 8:00am - 4:00pm, excluding holidays.
   * If utility service is off at the new residence, you must be present for connection.
 Step 6: Other Service(s)

Will anyone at the new service address be on Life Support Equipment? 
  (You will be contacted for verification)

Yes  No 
If you would like information regarding AutoPay click here.
 Would you like to contribute $1.00 a month to Plus1  Yes No
(Low Income Utility Bill Assistance Fund)
  Step 7: Mailing Address (If different than New Service Address)
House Number:  
Street Name / PO Box:  
Apartment Number:  
City:  
State:  
Zip Code:  
  Step 8: Contact Information
Daytime Phone:   *   Ext.
xxx-xxx-xxxx                                                
Evening Phone:  
eMail:  
  Step 9:Questions or Comments
  Step 10: Submit Request

Our Privacy Policy

You must read and accept the residential service agreement before you can submit the request

I Accept MLGW's Residential Service Agreement. *

    

* Print a copy of this form for your records.