Utilities - Stop Service

2. 

3. ***** Please disregard Form Center login above. *****
   Complete this form if you are moving out of Fairfield and wish to request a final reading for your utility services.

   Complete this form if you are moving out of Fairfield and wish to request a final reading for your utility services.

5. Name *

7. The property address that I am moving out of is:*

   (Include apartment or unit number, if there is one.)

9. City*

10. State*

11. Zip Code*

13. Account Number*

14. Customer Number*

15. Need help finding the account number and customer ID?
    Click Here!

17. At the property I am moving out of, I was:

    1. The owner
    2. A tenant

19. MY NEW MAILING ADDRESS IS:

21. Street Address*

    (Include apartment or unit number, if there is one.)

23. City*

24. State*

25. Zip Code*

27. Email Address

28. Phone Number*

    (Please include area code.)

30. Why do you need a final reading?*

    1. I sold this property to a new buyer.
    2. I still own this property, but I want the water turned off.
    3. I am a tenant and I am moving out.

34. Final Reading Date*
    Final Reading Date

37. THE FINAL READ DATE CANNOT BE TODAY'S DATE. Please enter tomorrow's date or later.
    If you choose a date that is on a weekend or a holiday, your final reading will be scheduled for the following business day.

    If you choose a date that is on a weekend or a holiday, your final reading will be scheduled for the following business day.

39. Additional Comments:

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field