Move Request

Are you moving ?

Do you want to open or close a residential account with Reliance^®? Please fill out the form and we will process your request within 7 business days.

Commercial Customer? Call us at 1-866-764-8131

If you are a Vendor and you do not have the following:

Closing Date / Moving Date
Purchaser’s name
Purchaser’s phone number
Forwarding Address

Please complete the request once the necessary information is available (please allow two weeks before moving date).

Move Request Form test

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"*" indicates required fields

Can we open or close an account for you?*

Date*

Name*

First Last

Email*

Billing Options*

eBill – Fast and secure way to receive your electronic bill by email

myReliance – View and manage your electronic bill by logging into a secure online web site

Address*

Street Address Address Line 2 City Province Postal Code

Is this your preferred mailing address?*

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Phone Number Home

Number Cell Phone

Will you own or rent?

Name of landlord

Phone number landlord

Are you the homeowner or tenant?*

Name of new owner*

First Last

Name of landlord*

First Last

Account number from your Reliance bill*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Phone Number Home

Number Cell Phone

We can help to process your account for your new location as well.

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Will you own or rent at this address?*

Date of possession*

Billing Options*

eBill: Fast and secure way to receive your electronic bill by email

myReliance: View and manage your electronic bill by logging into a secure online web site

Paper Receive paper bill by mail

Name of landlord*

First Last

Phone number landlord*

Move Request

Are you moving ?

Move Request Form test

We can help to process your account for your new location as well.

Solutions For:

Reliance Support

Why Reliance?

Move Request

Are you moving ?

Move Request Form test

We can help to process your account for your new location as well.

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