No notary required

Water Service Close-Out Form

The Water Service Close-Out Form lets a customer provide account details and a forwarding address when closing out water service with the city.

What this form is

Use this form to request a water service close-out. It asks for the customer’s name, service address, account number, close-out date, forwarding address, and signature. The form states that the close-out date cannot be backdated and includes fields for city office use, including the date, person closing out, and account notes.

Who needs it

A water customer closing out service and providing a forwarding address needs to complete and sign this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer just signs and dates the close-out form.

How to submit this form

1
Download The Form
Download the Water Service Close-Out Form.
2
Complete The Customer Fields
Enter your name, address, account number, close-out date, and forwarding address.
3
Sign And Date
Sign and date the form. The form says the close-out date cannot be backdated.
4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Water Service Close-Out Form request?: It asks for the customer's name, address, account number, close-out date, forwarding address, and signature. It also has fields for city office use.
Do I need a notary for the Water Service Close-Out Form?: No. This form is signed without a notary; the signer just signs and dates it.
How do I submit the Water Service Close-Out Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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