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Request to Cancel Water Service

2. Please complete the following information to cancel water/sewer service. Form must be submitted by 4:30 pm at least one business day in advance. Please be advised that all service orders take place Monday-Friday, in the morning on the provided date, and meters are locked.

4. Name on Account*

5. Account Number

7. Service Address*

   Where do you want water shut off?

8. Date of Cancellation*

   Water shut off takes place in the morning, Monday through Friday

10. Forwarding Address

12. Address1*

14. Address2

16. City*

17. State*

18. Zip*

20. Phone Number*

21. Name of person completing this form*

23. Email Address*

25. Acknowlegment*

    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
27. Comments

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field