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Utility Billing Application - Stop/Cancel Service
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This form has been modified since it was saved. Please review all fields before submitting.
Para español, haga clic en "Seleccionar idioma" en la parte inferior derecha de la pantalla y seleccione "Español"
Please complete the following information to cancel the water/sewer service. The form must be submitted by 4:30 p.m. at least one business day in advance and must be within 30 days of the date of submission. Please be advised that all service orders take place Monday-Friday, in the morning on the provided date, and meters are turned off. If your request falls on a holiday or weekend, the closure will take place the next working business day.
Name on Account
*
Account Number
*
Service Address
*
Water shut-off takes place in the morning, Monday through Friday. All requests must be for a future date from today.
Date of Cancellation
*
Please provide a Forwarding Address where the last and final bill will be mailed
Address1
*
Address2
City
*
State
*
Zip
*
Phone Number
*
Reply Email
*
Name of the person completing this form
*
Acknowledgement/Consent
I understand that if I need to change this service request, I must contact the utility billing office directly at least one business day prior to service request. I also acknowledge that I am the active account holder requesting cancellation of services.
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