Discontinue Service Request

Request to Discontinue Service with Alabaster Water Board

You may either submit the form online below or CLICK HERE to print the form.

In order to process your request quickly and accurately,
please provide the following information.

Request to Discontinue Service Form

Date to Stop Service*:     

Customer #:

Service Address:
 

Account Holder (s) Last Name (s):
1)         2)

Account Holder (s) First Name (s):
1)         2)

Forwarding Address for Final Bill:

Street:

City:

State:      Zip:

Home Phone:

Cell Phone:  Cell Phone:

Work Phone: Work Phone:

Employer(1):

Employer(2):

*Your request may be scheduled for the next available business day.

Please enter your E-mail Address: (example: yourname@gmail.com)

 

By submitting the information above, you agree that you are requesting to Discontinue Water Service, and by entering your initials below this will serve as your electronic signature.

Enter Your Initials: