Snowflake, AZ · Navajo County
Request for Termination of Service
This form lets a Snowflake water customer request termination of service at an address and direct where to send the final bill or refund.
What this form is
A water customer uses this form to request termination at a service address on a specified date. It asks for the customer’s name, service address, requested termination date, and mailing address for the final bill or refund, along with a signature and date. The form says service cannot be stopped before the request is received and explains how to change a requested date.
Who needs it
A customer who wants Town of Snowflake water service terminated at a service address should complete and sign this request.
How to submit it
Mail the form to 81 West 1st South, Snowflake, AZ 85937, or fax it to (928) 536-2539. If you mail or fax it, the form says you are responsible for verifying that it was received.
About notarization
This document is signed without a notary; the customer just signs and dates the request.
How to submit this form
- 1
Download The Form
Download the Request for Termination of Service PDF.
- 2
Complete The Request
Enter your name, service address, requested termination date, and mailing address for the final bill or refund.
- 3
Sign And Date
Sign and date the customer line on the form.
- 4
Submit To The Town
Mail the form to the address shown or fax it to the listed number; verify receipt if you mail or fax it.
Frequently asked questions
- Do I need a notary for the Request for Termination of Service?
- No. The form has a customer signature and date line but no notary block; the customer just signs and dates the request.
- How do I submit the water service termination request?
- Mail it to 81 West 1st South, Snowflake, AZ 85937, or fax it to (928) 536-2539. If mailing or faxing, verify that the Town received it.
- What information does the form ask for?
- It asks for the customer's name, the water service address, the requested termination date, and an address for the final bill or refund, plus the customer's signature and date.
- Can I request a future termination date?
- Yes. The form says you may request a future date, but water service cannot be stopped before the Town receives the request. To change a date, contact the Town at least one day beforehand and complete a new form.