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2. Para español, haga clic en "Seleccionar idioma" en la parte inferior derecha de la pantalla y seleccione "Español"
4. 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.
6. Name on Account*
8. Account Number*
10. Service Address*
12. Water shut-off takes place in the morning, Monday through Friday. All requests must be for a future date from today.
14. Date of Cancellation*
16. Please provide a Forwarding Address where the last and final bill will be mailed
18. Address1*
20. Address2
22. City*
23. State*
24. Zip*
26. Phone Number*
28. Reply Email*
30. Name of the person completing this form*
32. Acknowledgement/Consent

    1. 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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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

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