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Personal Information Change

  1. In accordance with the Federal Trade Commission (FTC) Red Flag Rule, the Village of Little Chute requires proof of identity for all customers. This policy is designed to detect, prevent, and mitigate identity theft in conjunction with opening and maintaining a utility account. 

    Current account information is as follows. 

  2. Revisions
    Purpose of completing this form is to update my personal information as follows 
    (only complete those fields that are changing)

  3. Please list any other updates we should be aware of.

  4. Submit*

    By Submitting this form I certify that the above information is mine and all statements on this form are true and correct.

  5. Leave This Blank:

  6. This field is not part of the form submission.