Moving | Blue Ridge Communications

MOVING

If this is a 911 service address change and you are not moving please fill out the Service Address Change form instead.

Current Residence

Account Number: *

Email Address: *

First Name: *

Last Name: *

Phone Number: *

Address: *

State: *

City: *

Zip Code: *

New Residence

Phone Number: *

911 Address: *

Address: *

State: *

City: *

Zip Code: *

Security Questions

Security Question 1: *

Security Answer 1: *

Security Question 2: *

Security Answer 2: *

Are you an authorized user?:

Yes

Authorized User Questions

First Name:

Last Name:

Date of Birth:

Use the format MM/DD/YYYY

Best Time to Contact You

Requested Contact Phone Number: *

Time of Day: *

:

am

pm

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