Fox Lake, IL · Lake County

No notary required

Request for Discontinuance of Service by Owner

Fox Lake property owners use this petition to request discontinuance of water, sewer, refuse, or other service for an uninhabitable property.

What this form is

Property owners use this petition to ask Fox Lake to disconnect an uninhabitable property from village water or sewer service; the form also lets them request discontinuance of refuse or other services. It asks for the property and utility account details, the reason for the request, services to discontinue, inspection and work information, and the owner's signature. The petition is reviewed, and required water or sewer inspections must be completed.

Who needs it

An owner or requestor seeking to discontinue village services for an uninhabitable property should complete and submit this petition.

How to submit it

Return the petition to Village Hall, Attention: Utility Billing, at 66 Thillen Dr., Fox Lake, IL 60020. You may also fax it to 847-587-2237 or email [email protected].

About notarization

This petition is signed and dated without a notary; no notarized or sworn attachment is listed.

How to submit this form

  1. 1

    Download the Petition

    Download the Request for Discontinuance of Service by Owner.

  2. 2

    Complete the Petition

    Enter the property and account details, service requests, inspection and work information, then sign and date the petition.

  3. 3

    Gather Inspection Information

    For water or sewer disconnections, required inspections must be completed by the Water and Sewer Department.

  4. 4

    Submit to the Village

    Send the petition to Utility Billing at Village Hall, fax it to 847-587-2237, or email [email protected].

Frequently asked questions

Who can file the discontinuance of service petition?
An owner or requestor can use the petition to request discontinuance of village services for an uninhabitable property connected to the village water or sewer systems.
Do I need a notary for the discontinuance of service petition?
No. This petition is signed and dated without a notary, and the form lists no notarized or sworn attachment.
How do I submit the discontinuance of service petition?
Return it to Village Hall, Attention: Utility Billing, at 66 Thillen Dr., Fox Lake, IL 60020; you may also fax it to 847-587-2237 or email [email protected].

Need something notarized?

This Request for Discontinuance of Service by Owner doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.