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Disconnection of Water/Sewer Service

  1. Disconnection of Service Application

    This form is to request discontinuation of your water/sewer service. Please fill out all fields, if applicable. Once you fill out the form it will be sent to the Utility department and you will receive a follow up email for confirmation.

  2. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. By signing below I have read and agree to the Parents Code of Conduct

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  4. This field is not part of the form submission.