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2. City of Forney - Water/Sewer Disconnection Request

   Disconnection requests may only be made by the Account Holder. Disconnections cannot be scheduled on a weekends or holiday. Plan three business days to implement the request.

4. Today's Date*
   Today's Date
5. Account # *
6. Requested Disconnection Date*
   Requested Disconnection Date

   *Minimum 1 business day notice.  Service may not disconnect on a weekend or holiday.  If you select a weekend or holiday the service will not stop until the following business day.

8. Rent or Own*

   1. Rent
   2. Own
9. Property Owner Name
11. Service Address*
12. Billing Name*
14. Forwarding Street Address for Final Bill or Refund*
15. Forwarding Address City*
17. Forwarding State*
18. Forwarding Zip Code*
19. Home/Cell Phone*
21. Copy of Driver's License*

    Front photo of Driver's License or other Government issued ID.

22. Email Address*
24. Terms and Conditions

    I request to discontinue water service at the above property. I will not hold the City of Forney responsible for any property damage due to the water being turned off. I understand I will be billed for water consumption up to the time of the final reading. If a deposit is on file, I understand it will be credited to the final bill and that the final bill will be due within 15 days. I agree to receive communications from the City of Forney with the contact information provided.

26. Electronic Signature of Applicant*
Leave This Blank:


28. Submit

* indicates a required field