Form Center

2. We require a 24 hour notice to schedule turn-off's along with this completed form. Please note that there is a $55.00 charge (or current Council approved fee) to have water service restored, and a turn-on request form will have to be submitted to the Utility Billing Department prior to service being restored. Base charges will continue to be billed to the owner on record for the service address.
4. Property Address 1*
5. Property Address 2
7. Property City*
8. Property State*
9. Property Zip*
11. Date of Turn Off*
    Date of Turn Off
12. Requested Time of Turn Off (Between 8am-2pm) *Required if meeting us at property*
    Requested Time of Turn Off (Between 8am-2pm) *Required if meeting us at property*
14. Owner's First Name*
15. Owner's Last Name*
17. Owner's Address 1 (if different than property address)
18. Owner's Address 2 (if different than property address)
20. Owner's City
21. Owner's State
22. Owner's Zip
24. Owner's Email Address*
26. Owner's Phone Number (Primary)*
27. Owner's Phone Number (Secondary)
29. Name of Person Submitting Request (if different from Owner):
31. First Name - Person Submitting Request (if different from above)
32. Last Name - Person Submitting Request (if different from above)
34. If You Are Not the Owner
    If Person submitting this request is not the owner of record of the property, then state your legal interest in the property and your authority to make this request. You must file a copy of all documents evidencing claimed interest with this request.
36. Please check below:*

    1. Someone will be present at the time the water service is turned off.
    2. No one will be present at the time the water service is turned off.

    We request that someone be present when the municipal water service is turned off whenever possible.
38. If someone will be present at the time the water service is turned off:
40. First Name of Person Present
41. Last Name of Person Present
43. Phone Number of Person Present
45. By submitting this request form, I hereby state and certify that I have a legal interest in the property identified above and, therefore, I have authority to direct the City to shut off the municipal water service to the property. I further state, acknowledge, and agree to assume any and all responsibility for any damage to or in the property that may result from the shut off of the municipal water to the property. I further agree to waive any right to any claim or liability against the City and I release the City from any damage to or loss on the property as a result of the City's actions in accordance with this request.
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field