Houston County, GA · Houston County
Request for Water Disconnect Due to Moving
Houston County water customers use this request to ask the Houston County Water System to disconnect service when they are moving from the service address.
At a glance
- Issued by
- City of Houston County · Houston County, Houston County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- houstoncountyga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This request asks the Houston County Water System to disconnect water service when a customer is moving. It collects the account name and number, telephone number, service address, forwarding address, requested disconnection date, and the customer's signature and date. The form notes that water service is not disconnected on weekends or holidays.
Who needs it
A Houston County Water System customer moving from a service address can use this form to request disconnection of water service.
How to submit it
Mail or deliver the completed request to the Houston County Water System, 200 Carl Vinson Parkway, Warner Robins, GA 31088.
About notarization
No notary is required; the customer requesting the change signs and dates the request, and the document lists no sworn or notarized attachment.
How to submit this form
- 1
Download the Request
Download the Request for Water Disconnect Due to Moving.
- 2
Complete the Request
Fill in the account, contact, service address, forwarding address, and requested disconnection date fields.
- 3
Sign and Date
Sign and date the request as the customer requesting the change. No attachments are listed on the document.
- 4
Mail or Deliver to the County
Mail or deliver the completed request to the Houston County Water System at 200 Carl Vinson Parkway, Warner Robins, GA 31088.
Frequently asked questions
- Do I need a notary for the Water Disconnect Request?
- No. The customer requesting the change signs and dates the request; the document lists no sworn or notarized attachment.
- How do I submit the Water Disconnect Request?
- Mail or deliver the completed request to the Houston County Water System at 200 Carl Vinson Parkway, Warner Robins, GA 31088.
- What information does the request ask for?
- It asks for the account name and number, telephone number, service address, forwarding mailing address, requested disconnection date, and the customer's signature and date.