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2. Please complete the following information to cancel water/sewer service. Form must be submitted by 4:30 p.m. 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. If your request falls on a holiday or weekend, closure will take place the next working business day.
4. Name on Account*
5. Account Number
7. Service Address*
   Where do you want water shut off?
8. Date of Cancellation*
   This field is required, requests for cancellations cannot be processed without it. Water shut off takes place in the morning, Monday through Friday. All requests must be for a future date from today.
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. Acknowledgment*

    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:


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

    This field is not part of the form submission.

31. Submit

* indicates a required field