My Bill

Change Address/Phone

 

  To change your customer information, please complete the form below.

* all fields are required

*Your Baldwin EMC Account Number:

  

*Your Full Name:

*Your current billing address.
 Please include the city, state and zip code:

  

*Last four digits of primary member's social security number, for verification of your account: 

  

*Date you want address change to take effect:

  [None] Select a Date Delete the Date  

*New Address: 

  

*New City: 

  

*New State: 

  

*New Zip Code: 

  

*New Phone Number:
(555) 555-5555 

  

*Daytime Phone:
(555) 555-5555

  

*Contact Email: 

  

NOTE: No address or phone number will be changed unless
the information provided matches our records.