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Disconnection Request - Water Department

  1. Electronic Signature

    By checking I agree, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

  2. If a disconnection request is received in our office before 3:30 p.m., Monday through Friday, service may be disconnected same day; otherwise, it will be next business day before 5 p.m.

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