Utilities Meter Reading Form - ClearCompliance

ClearCompliance

Utilities Meter Reading Form

Record Gas, Electricity, and Water meter readings. It is recommended to take photos of each meter reading as evidence.

1. General Information

Date Readings Taken

Property Address

Readings Taken By (Name)

Other Parties Present (e.g., Tenant Name)

2. Gas Meter

Serial Number

Reading

Units

Photo Reference (Optional)

3. Electricity Meter

Serial Number

Reading (kWh)

Reading - Rate 2 (if applicable)

Photo Reference (Optional)

4. Water Meter (if applicable)

Serial Number

Reading

Units

Photo Reference (Optional)

5. Notes & Comments

Any observations about meter locations, accessibility, or condition:

6. Acknowledgement of Readings

The undersigned acknowledge that the meter readings recorded above are accurate as of the date specified.

Landlord / Agent

Signature (Type Full Name) Date

Tenant(s) (if present and acknowledging)

Tenant 1 Signature (Type Full Name) Date