REQUEST TO DISCONTINUE SERVICE

If your account has metered service, please call AWWU Customer Service at 564-2700 to schedule a final meter read and to discontinue service. Do not submit this form.

Request for disconnects can only be made with a future date, excluding weekends and holidays.

Customer Information

Last Name
First Name
Middle Initial

Location Where Service Will Be Discontinued

Address
City
State
Zip -
Last Date Of Service


Final Billing Address

Address Line 1
Address Line 2
Suite/Apt
City
State
Zip -

NAME OF PARTY COMPLETING THIS FORM



Relationship to the Person Discontinuing Service



Requestor's Daytime Telephone Number ..


If a deposit was required on your account, it will be credited to your final bill.  If service at another location within AWWU service area is needed please complete the APPLICATION FOR SERVICE request.

If known please provide the name and daytime telepone number of the individual that will be taking over the service at this location.

Remarks



After you submit this application, you should receive a confirmation page.  If the confirmation page does not display, that means an error occurred.  Please report the error to AWWU Customer Service at 564-2700.