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West University Place Citizens Academy
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Terminating City Utility Services
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This form has been modified since it was saved. Please review all fields before submitting.
We are sorry to see you go! To terminate your utility services, please complete the online form below and submit no later than 4 p.m. the day before you want services terminated.
Please Note:
Water service terminations can only be completed during the week, Monday - Friday. The City is unable to terminate water service on the weekends or on holidays. Water services are normally turned on during the morning between 6 a.m. - 9 a.m.
Date to Terminate Services:
*
Date to Terminate Services:
Service Address:
*
You do not need to enter the city, state, or zip code
Name of Resident or Company:
*
Best phone # to reach you:
*
Email Address:
*
Forwarding Mailing Address:
*
Please include city, state, and zip code
Which of the following were you doing at the service address that is being terminated?
*
Owning
Renting*
Managing Property
Building*
*RENTERS:
Your $200 deposit will be applied to your FINAL bill. If any funds are left over, we will send you a refund.
*BUILDERS:
Your $500 deposit will be applied to your FINAL bill. If any funds are left over, we will send you a refund.
Did you have an Alarm Permit?
*
Yes
No
*If yes, we will notify the Police Department.
Did you have Direct Link?
*
Yes
No
*If yes, we will notify the Police Department.
Electronic signature of person terminating service.
*
By typing your name into this field this form, you understand that the information given above will be used to terminate your utility services. You are agreeing that the information given to the City is correct. You further understand that you are responsible for paying for these utility services until the termination date.
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Email address
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