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2. 24 hour advance notice is required to cancel water service.
   Disconnects take place during normal weekly business hours.
3. Move Out Form Alternative
   Move Out Form (paper form)

   This is a paper form that can be printed, completed and returned via fax or email instead of the electronic form submission. Return form to [email protected]
5. Name on Account*
6. Account Number*
8. Service Address*
   Please provide the address on the water bill where service should be discontinued.
10. Date to Turn Water Off*
    Date to Turn Water Off
    (Non-Holiday Weekdays Only)
12. Phone(s)*
    (Please give us the best phone number(s) to reach you with any questions or information.)
14. Final Bill Address *
    Please provide Name, Address, City + State + Zip where final refund/bill will be mailed.
16. Email*
    We will email you a copy of this request.
18. It is the customer’s responsibility to call our office (972-625-2741) and confirm the move out request was received.*

    1. I agree

    By clicking the confirmation you agree to the date for the disconnect.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field