Request edit access
Water Turn On or Off Request
This form needs to be filled out to completion with all required fields. The Water Department will not turn the water on at your residence without you there. If you will be turning your water off for a longer period of time, a final reading will be completed and a final bill for water used will be sent to you after the water is off. If you are seasonal and would like to update your billing address for the months that you are gone, please provide the alternate mailing. 

Note, you are REQUIRED to be present for both water turn on and off. 
Email *
Water District *
Address of Water Request *
Please provide street address of service, no PO Boxes
Type of Request *
Please submit Date that you would like the request to happen. *
MM
/
DD
/
YYYY
Name of Requester *
Contact Number  *
Would you like to update a seasonal address for billing *
Updated billing address
Would you like to receive confirmation that it is off via email? *
Email
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report