Cloverdale, CA · Sonoma County
Water/Sewer Stop Service Request
This request lets a Cloverdale water or sewer account holder ask the city to stop service at a service address.
What this form is
Use this form to request a date to stop water or sewer service at the listed service address. It asks for account holder and property details, forwarding information for the final bill or any deposit refund, and a signature and date. It also explains that charges continue until shut-off and that a same-day stop service request has an added charge.
Who needs it
A water or sewer account holder, property owner, tenant, or authorized agent can use this form to request service shut-off.
How to submit it
The form lists [email protected] and fax number 707-894-3451. It does not state how to submit the request, so confirm the current submission method with the city.
About notarization
This request is signed and dated without notarization; it identifies no attachment or related step that must be sworn or notarized.
How to submit this form
- 1
Download The Request
Download the Water/Sewer Stop Service Request PDF.
- 2
Complete The Form
Enter the service address, requested stop date, account and property details, and forwarding information.
- 3
Sign And Date
Sign and date the request as the applicant or account holder.
- 4
Contact The City To Submit
The form lists an email address and fax number; confirm the current submission method with the city.
Frequently asked questions
- Do I need a notary for the Water/Sewer Stop Service Request?
- No. The request calls for the applicant or account holder to sign and date it; it identifies no attachment or related step that must be sworn or notarized.
- How do I submit the Water/Sewer Stop Service Request?
- The form lists [email protected] and fax number 707-894-3451, but does not specify a submission method. Confirm the current method with the city.
- What information does the request ask for?
- It asks for the service address, account holder and property information, a requested stop date, forwarding details, contact information, and the applicant or account holder’s signature and date.
- Is there an extra charge for a same-day stop?
- The form lists an additional $135.00 for a same-day stop service request. It also says full payment is required and that fees may change.
Need something notarized?
This Water/Sewer Stop Service Request doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.