Elkhart, IL · Logan County

No notary required

Request for Change or Termination of Water Service (Existing Account)

Existing Village of Elkhart water account holders use this form to request an account change, a temporary interruption, or permanent termination of water service.

What this form is

This form lets an existing Village of Elkhart water account holder request a change to an account, a temporary interruption of service, or permanent termination. It asks for the account holder’s name and account number, service and mailing addresses, and applicable dates; permanent termination requests also include a mailing address for the security deposit. The form includes a signature and date line.

Who needs it

An existing Village of Elkhart water account holder requesting an account change, temporary service interruption, or permanent termination needs 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; no notarized or sworn attachment is identified, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Request for Change or Termination of Water Service form for an existing account.

  2. 2

    Complete The Request

    Enter your name, account number, addresses, and the dates that apply to your requested change or service interruption.

  3. 3

    Add The Signature And Date

    Sign and date the form. No attachment is identified on the document.

  4. 4

    Submit To The City

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

Frequently asked questions

What can I request with this water service form?
An existing account holder can request an account change, a temporary interruption of water service, or permanent termination of service.
What information does the form ask for?
It asks for your name, account number, service and mailing addresses, and applicable effective or beginning and ending dates. Permanent termination includes a mailing address for the security deposit.
Do I need a notary for this water service form?
No. The form has a signature and date line and does not identify a notarized or sworn attachment.
How do I submit the water service request?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Request for Change or Termination of Water Service (Existing Account) doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.