Barrow County, GA · Barrow County
Request to Discontinue Service
The account holder uses this form to ask Barrow County Water Resources to disconnect utility services at a service address.
At a glance
- Issued by
- City of Barrow County · Barrow County, Barrow County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- barrowga.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The person listed on the account completes this form to request disconnection of water, irrigation, and/or sewer service. It asks for the account and service details, the reason for the request, a forwarding address for the final bill, contact information, and the account holder’s signature.
Who needs it
The person listed on a Barrow County utility account should complete this form when requesting disconnection of service.
How to submit it
Return the completed form to Barrow County Water Resources in person or by mail at 59 Lee Street, Winder, GA 30680, or by email to [email protected].
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Form
Download the Request to Discontinue Service form.
- 2
Complete the Form
Enter the account and service information, select the services to disconnect, provide a forwarding address and contact details, then sign and date it.
- 3
Gather Attachments
The document does not list any attachments.
- 4
Submit to the County
Return the completed form in person or by mail to Barrow County Water Resources, or email it to [email protected].
Frequently asked questions
- Who completes the Request to Discontinue Service?
- The document says the person listed on the utility account is required to complete and return the form.
- How do I submit the Request to Discontinue Service?
- Return it to Barrow County Water Resources in person or by mail at 59 Lee Street, Winder, GA 30680, or email it to [email protected].
- What information does the form request?
- It requests account and service details, services to disconnect, renter or owner information, a forwarding address for the final bill, contact details, and a signature.
- Do I need a notary for the Request to Discontinue Service?
- No. This document is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.