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Water, Sewer and Trash Service Termination
Name
*
Only the account holder or listed residents can terminate service.
Name of Requester
*
Name of person submitting request.
Utility Account Number
Do
not
include punctuation or spaces.
Service Address
*
Include street number and street name, and unit/apartment number if applicable.
Service City
*
Service Zip Code
*
Phone Number
*
Disconnect Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2021
2022
Choose a date that falls between Monday and Friday—we do not disconnect services on Saturday or Sunday. We will disconnect services on the date you request between 8am and 5pm.
Do you anticipate having extra trash on this date?
*
No
Yes
Last Bill Forwarding Address
Enter the mailing address of where we should send your final bill.
Forwarding Address
*
Forwarding City
*
Forwarding State
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other...
Forwarding State Other...
Forwarding Zip Code
*
Forwarding Phone Number
If different from the phone number above.
Email Address
Confirm Email Address
The email address must match the one above.
Leave this field blank
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