METER DISCONNECT FORM - avec 2026

1. Click ‘Get Form’ to open the METER DISCONNECT FORM in the editor.
2. Begin by entering the 'Date' at the top of the form. This is essential for processing your request.
3. Fill in the 'Meter Serial Number' and your 'Name'. If applicable, include a 'Joint Member Name'.
4. Provide your current address details including 'Current Address', 'City', 'State', and 'Zip'.
5. Enter your forwarding address if you wish to receive correspondence after disconnection.
6. Specify the 'Requested Date of Disconnection' and answer whether service will not be transferred during winter months.
7. Indicate if you are the owner of the service. If not, provide the owner's name and phone number.
8. Complete any additional questions regarding running water and winterization status as required.
9. Sign as the applicant at the bottom of the form, ensuring all information is accurate before submission.

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