Waleska, GA · Cherokee County

No notary required

Water Service Cancellation Form

Waleska Water Authority customers use this form to request a water service cutoff and provide a date for the meter to be read.

What this form is

The form lets a customer provide account and contact details, a service address, a forwarding address, and the requested cutoff and meter-reading date. It is for customers asking to cancel water service through the City of Waleska Water Authority. The form includes a signature field and does not list any required attachments.

Who needs it

A City of Waleska Water Authority customer who wants service cut off and the meter read on a specified date needs this form.

How to submit it

Email the completed form to [email protected], as directed on the form.

About notarization

This document is signed without a notary; the customer simply signs and dates the service-cancellation request.

How to submit this form

  1. 1

    Download The Form

    Download the Water Service Cancellation Form PDF.

  2. 2

    Complete The Form

    Enter the account and customer details, service and forwarding addresses, cutoff and meter-reading date, and phone number.

  3. 3

    Sign And Date

    Sign and date the form. The document does not list any required attachments.

  4. 4

    Email The Form

    Email the completed form to [email protected].

Frequently asked questions

Do I need a notary for the water service cancellation form?
No. The customer signs and dates the form; it does not include a notary block or list any notarized attachment.
How do I submit the water service cancellation form?
Email the completed form to [email protected], the email address printed on the form.
What information does the form ask for?
It asks for the account, customer name, service and forwarding addresses, cutoff and meter-reading date, phone number, and signature.

Need something notarized?

This Water Service Cancellation Form doesn’t need a notary — but if you have another Waleska form that does, a commissioned online notary can help.