We require 24 hours notice to stop service. Monday-Friday and we are closed on weekends and holidays.

1

I request to terminate my water & sewer service.

 *

I request to terminate my water & sewer service.

Service Address	Date of Service Termination
Account Number (Optional)	E-mail Address

2

Forwarding Address (REQUIRED)

 *

Forwarding Address (REQUIRED)

Street Address

City

State/Province/Region(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Postal / Zip Code

I understand if no new account has been opened by my requested date of termination the water will be turned off the morning of the requested date. Furthermore, I understand that I will receive a final bill and that I am responsible for paying, in full, the charges and consumption that occur through the service termination date.

3

Typing your name in the space below serves as your electronic signature.

 *

Name

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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