The following form is for requesting a Transfer of Service on properties with-in our District. Title Companies ordering a final bill or requesting status on a property, Tenants leaving a property, or Landlords requesting transfer of service into a new tenant’s name, must complete and submit this form. After the final metering reading is obtained either on the closing date or the move date, a final bill is then processed. There is a $35 transfer of service fee that is included on the final.

If you are unsure whether your property is in the District, please use following link to view our boundaries: District Boundary Map

Thank you for being a North Table Mountain Water Customer.

Utility Billing Request for Final Reading

* Indicates required information

Property/Service Address*:

Name currently on Account*:

Requestee Information

Type of request*:

Status Only:
(If you select "Status Only" you will need to resubmit this form for a "Final Bill")

Final Bill:
(If you select "Final Bill" you will also receive a current status)

Company Name(if applicable):

Requestee Name*:

Requestee Telephone No*.:

Requestee Email*:

Closing/Transfer Date*:

Comment(80character max.) :

Mailing Address for Final*:



Zip Code*:

Buyer/Landlord/Tenant Information

Input the information for the new indivdual that will be responsible for the utility bill.

Buyer/Landlord/Tenant First Name or Business Name*:

Buyer Last Name (If Business enter N/A)*:

Co-Buyer/Landlord/Tenant First Name :

Co-Buyer Last Name :

Complete if Mailing Address is different from Property Address

Alternate Mailing Address :

City :

State :

Zip Code :

Thank You,

North Table Mountain Water and Sanitation District
14806 W. 52nd Avenue • Golden, CO 80403
Phone (303) 279-2854 • Fax (303) 279-2865