Disconnect Service

Thank You For Your Valued Business.

Whether you’re moving or need to disconnect water to your property for another reason, we’re here to help.

Option 1: Compete the form below to submit your request online.

Option 2: Visit our Forms page to download the form, then submit the completed form in person or by mail.

Disconnect service Form

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Today's Date:

Name

First

Last

Business Name: (If Applicable)

Phone

Account Number

Requested Disconnect Date:

Service Address

Address Line 1

Address Line 2

City

State

Zip Code

Forwarding Address

Address Line 1

Address Line 2

City

State

Zip Code

DL#: (Driver's License)

(For identity verification)

Apply Deposit?

Signature

Clear Signature

By digitally signing my name here, I agree that I am the account holder stated above and that I agree to my water supply being terminated on the disconnect date specified above.

Next Steps

You will receive a confirmation email within 2 business days confirming your disconnection date.

Need Assistance?

If you need assistance, our team is happy to to help answer your questions or guide your next steps.