owner authorization for vendors - ipmstatic.ipmchico.com/forms/va.pdfowner authorization for vendors...

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P.O. Box 1192 Chico CA 95927 | tel: (530) 924-4365 fax: (877) 782-8448 | ipmresidential.com OWNER AUTHORIZATION FOR VENDORS Filled out at the request of the owner, to authorize IPM on specific vendor accounts Owner Name: Property: As the owner, I authorize IPM, to negotiate, discuss and communicate with any vendor listed below for the above property. I hereby authorize IPM to act in all matters on my behalf for the below vendors: Authorization may include but is not limited to: • Change of Address • Order/Change of Service • Payment/Balance Inquiry Vendor Type Vendor Name Owner Initial Garbage/Waste Sewer Water Pest Control Landscaping Mortgage Company Other Other _______________________________________ ____________________ OWNER Date _______________________________________ ____________________ OWNER Date _______________________________________ ____________________ IPM Date

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Page 1: OWNER AUTHORIZATION FOR VENDORS - IPMstatic.ipmchico.com/forms/VA.pdfOWNER AUTHORIZATION FOR VENDORS Filled out at the request of the owner, to authorize IPM on specific vendor accounts

P.O. Box 1192 Chico CA 95927 | tel: (530) 924-4365 fax: (877) 782-8448 | ipmresidential.com

OWNER AUTHORIZATION FOR VENDORS Filled out at the request of the owner, to authorize IPM on specific vendor accounts

Owner Name: Property: As the owner, I authorize IPM, to negotiate, discuss and communicate with any vendor listed below for the above property. I hereby authorize IPM to act in all matters on my behalf for the below vendors: Authorization may include but is not limited to:

• Change of Address • Order/Change of Service • Payment/Balance Inquiry

Vendor Type Vendor Name Owner Initial

Garbage/Waste

Sewer

Water

Pest Control

Landscaping

Mortgage Company

Other

Other

_______________________________________ ____________________ OWNER Date

_______________________________________ ____________________ OWNER Date

_______________________________________ ____________________ IPM Date

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