Stop Water Service – Milcrofton Utility District

Stop Water Service

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This Application Is For

Existing Service
Active Construction/Builder*

^*A temporary hydrant must be in place on the property owner’s side of the meter box before the water meter will be set and service started with Milcrofton.

Customer Name

First

Last

Current Service Address

Address Line 1

Address Line 2

City

State

Zip Code

Forwarding Address

Address Line 1

Address Line 2

City

State

Zip Code

Desired Date To Stop Service

Cell Phone

Home Phone

Work Phone

Email

Layout

Signature

Clear Signature

Date

Field #46 (copy)

Account #

Fed Tax ID/Last 4 of SSN