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Final Service (one needed for each account) ***
This form has been modified since it was saved. Please review all fields before submitting.
*** Landlords or Continuous Owners that wish to permanently end a previously signed agreement must use the End Landlord/Continuous Owner Agreement Form.
Only the individual whose name is listed on the account (or, in the case of a commercial account, a current representative of said business) is authorized to cancel service. If the information provided does not match the account, the request will not be processed.
If you have more than one account, such as irrigation, etc., you will need to complete one form for each account and specify.
Forwarding Address City
Forwarding Address State
Forwarding Zip Code
Date To Final Service
Date To Final Service
We schedule by date only - we cannot schedule a specific time but they are normally done first thing in the morning. If this is not convenient for you, you will need to date your final service for the next business day. Final service can be performed the next business day after we receive the completed form in our office or later if you prefer. Forms received after hours will require an additional business day. Do not backdate your form - service is billed on manual readings, not proration. No services will be scheduled on holidays or weekends. If you enter a holiday or weekend date, it will be scheduled for the next business day after that date.
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.
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