Discontinue Service

**Please Note: No Requests for Disconnect will be Accepted Over the Phone**

Name*
First Last
Current Service Address:*
Street Address City ZIP Code
Date to Disconnect:*
Date Format: MM slash DD slash YYYY

**Date for service disconnect must be Mon-Friday and must NOT be on a government holiday.**
Account Number
Forwarding Address:*
Street Address City State ZIP Code
Phone Number:*
Upload Photo ID:
In order to disconnect service, we will need to verify your identity. If you are having trouble uploading a photo ID or prefer not to, please call our office for further instructions: (940)440-9561
Email:*
I hereby request that my water meter assigned to the above-noted account and address be disconnected from service and that my deposit (if any) be refunded to me. If I should ever want my service reinstated at this address, I acknowledge that I may have to reapply for service as a new member and pay all fees as required by the District's Rate Order in effect at that time. I further represent that I am authorized to execute this Request for Service Discontinuance.*
- I AGREE