Designation of Tenant/Agent

In order to set up your account for the tenant to receive a copy of the statement the owner of the property must complete and sign the Designation of Agent/Tenant pdf form below and submit it to our office.

Download the Designation of Agent/Tenant Form (PDF) and return it to us, or fill out the form below:

Designation of Tenant/Agent Form

8-digit Parcel Number (no dashes)(Required)

Should be an 8-digit number without hyphens. If you don't know it, your Washoe County Assessor Parcel Number (APN) can be found on your property tax bill or at

Property Address(Required)

Street Address Address Line 2 City State ZIP Code

Account No.

Tenant Information

Tentant name

First Last

Tenant mailing address

Street Address Address Line 2 City State ZIP Code

Tenant phone number

Tenant email address

Date of move-in

Note: IVGID will not prorate charges

Agent Information

If blank, the owner will receive copy of statement

Agent name

First Last

Agent mailing address

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

Agent phone number

Agent email address

Disclaimer

OWNER, OR AGENT ASSIGNED ABOVE, WILL RECEIVE A COPY OF THE STATEMENT BY MAIL OR MAY SIGN UP FOR PAPERLESS STATEMENTS THROUGH ONLINE ACCOUNT ACCESS. I UNDERSTAND THAT CORRESPONDENCE MAY ONLY BE SENT TO MY TENANT/AGENT’S MAILING ADDRESS. I ACKNOWLEDGE THAT ALL CHARGES, FEES AND AMOUNTS DUE AND PAYABLE SHALL BE BILLED TO THE OWNER OF THE PREMISES, WHETHER OR NOT THE OWNER IS ALSO THE OCCUPANT. THE DISTRICT WILL NOT PRORATE CHARGES ON ACCOUNT UPON TRANSFER OF TENANT. BASE CHARGES ON THE ACCOUNT ARE BILLED IN ADVANCE AND CONSUMPTION CHARGES ARE BILLED IN ARREARS. WITH THIS DESIGNATION I AM NOT WAIVING THE DISTRICT’S RIGHT TO COLLECT FOR SERVICE FROM ME AS THE OWNER OF THE PROPERTY SERVED.

Signature (type your name) of owner or agent (if designation of agent on file)(Required)

Date(Required)

Print owner's name(Required)

Owner's mailing address(Required)