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2. Reason for Request (please select one)*
   -- Select One --Moving InMoving Out
4. Name(s) on Account

8. Moving In

10. Please complete this section if you are moving to the City of Shorewood. If you are moving out, please skip to the Moving Out section.

12. Address
14. Do you own or rent this property?

    1. Own

    1. Rent
15. Effective Date
17. Landline Phone Number
18. Cell Phone Number
20. Email Address
22. Would you like to be added to the City's emergency alert system?

    1. Landline Phone
    2. Cell Phone

    1. Email
    2. None of the above

    Emergency alerts may include road closures, watermain breaks, weather-related incidents, etc. Please select all options that apply. 

24. Upon submission of this form, you will be directed to the City's communication page, where you can sign up or update your communications preferences that you receive from the City of Shorewood.

28. Moving Out

30. Please complete this section if you are moving out of the City of Shorewood.

32. Address (from where you are moving out)
34. Do you own or rent this property?

    1. Own

    1. Rent
35. Effective Date
37. Forwarding Address (if applicable)
39. City
40. State
41. Zip Code
43. Cell Phone Number
44. Email Address

46. Upon submission of this form, you will be directed to the City's communication page, where you can sign up or update your communications preferences that you receive from the City of Shorewood. 

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

* indicates a required field