Stop service at your residence

Complete this form to request that service be stopped at your residence.

Please note:It may take up to two business days to process your stop service request.

Residence type

Water service is for

Requested disconnection date

Phone to reach you today

Customer information

Account Number

First name

Middle initial (Optional)

Last name

Social Security number

Last 4 digits

Birth date

Spouse/Co-Owner information

First name (Optional)

Middle initial (Optional)

Last name (Optional)

Social Security number (Optional)

Last 4 digits

Birth date (Optional)

Service address

Address

Apartment/Unit (Optional)

City

State

ZIP

Confirm email

Home phone

Work phone (Optional)

Mailing address (for closing bill)

Same as above

Address

Apartment/Unit

City

State

ZIP