Mailing Address Update

Service Address (required)

RUSA Customer Number

New Mailing Address (include city, state and zip) (required)

Phone Number (required)

Email Address

Please Type Initials in Acknowledgment of the Following; I Understand that RUSA Billing Statements may be sent to the Property Owner Only. (required)

Certification - Please type your FULL FIRST AND LAST name in lieu of a signature. "By signing I certify that the information provided is complete and accurate, and that I agree to comply with the current Rules and Regulations of Roseburg Urban Sanitary Authority related to utility service provided by the Authority." (required)

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