Moving – Disconnecting Service Disconnect Service Form If you are moving from your current service address, you will need to fill out the information below. Fields with an asterisk are required in order to proceed. You will receive an electronic confirmation that your form was received by our Utility Billing Department upon submission. This confirmation is your receipt - please keep a copy for your records. Did you own the property or lease it?*(Required) I was the owner of the property. I was leasing (renting) the property. I am a Property Management Company. Does the property owner want the water switched over to their name?*(Required) In order not to turn off the water we need to know whether the property owner would like the water kept on when you move out. Please provide property owner name to keep the water on. What is the account number?*(Required) This is the account number that is located on your utility bill.Disconnect Serivce dateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What date would you like the service disconnected? We do not offer same day service, provide service on the weekends or holidays, and will not disconnect on a Friday if you sell your home and the new owners have not established service yet. If the date you need is not available for selection, please call the Utility Services Department at (541) 535-1955 ext. 305.Service Address to Disconnect*(Required) Address you are requesting to disconnect service from.Name on the Account*(Required) Email PhoneForwarding Address*(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
