You must have JavaScript enabled to use this form. Name Account Number Phone Number Contact Email Property Location Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Property Occupied Yes No If the premises are occupied Government Code prevents the district from terminating water service. If the premises are occupied and the account is delinquent, Government Code Section 60371 requires the district to notify the actual users that the service will be discontinued, and that they have the right to become customers of the district. This applies to current users, whether the premises is legally or illegally occupied. Eviction must be pursued through legal avenues other than termination of the utilities.The owner of the property is ultimately responsible for the payment of any water service charges Date of Disconnection Date of Reconnection Send Closing Bill To Name Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Driver's License or Photo ID One file only.5 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, pdf. Disconnection/Restoration of Service The following charges apply for all disconnection or reconnection of service. If water service is disconnected for non-payment of bills, the outstanding balance, any additional fees due as listed below, plus a fee for disconnection and reconnection of service must be paid in our office between 7:30 a.m. to 5:00 p.m., Monday through Thursday and 7:30 a.m. to 4:00 p.m. on Friday, excluding district holidays, before service will be restored. No payments can be accepted by our field employees. For both water and sewer services, the monthly fixed charge will apply to all accounts, whether the meter service is active or not. Why? Once connected to the water or sewer system, the capacity to service your property must be permanently available. Ongoing maintenance and costs associated with that capacity must be recovered rather than spread to other active ratepayers.Up to 1-inchDisconnect Charge: $50.00Reconnect Charge: $50.00Reconnect Charge(After Service Hours): $140.001.5 to 2-inchDisconnect Charge: $78.00Reconnect Charge: $78.00Reconnect Charge(After Service Hours): $140.00Over 2-inchDisconnect Charge: $140.00Reconnect Charge: $140.00Reconnect Charge(After Service Hours): $140.00 Signature Leave this field blank Print
