Greenwich, NY · Washington County
Discontinuance of Service
Property owners or their representatives use this form to request that the Village of Greenwich turn off water service at the curb.
What this form is
This form requests discontinuance of water service at a property in Greenwich. The request states that service ends when it is turned off and that the applicant remains liable for water charges accrued until then; it also lists a $50 fee payable at the time of the request. The form asks for the premises, contact and mailing details, account and meter information, a current meter reading, and the signer’s certification and signature.
Who needs it
A property owner or authorized representative who wants the Village of Greenwich to turn off water service at the curb needs this form.
How to submit it
Submit the request to the Village of Greenwich, 6 Academy St., Greenwich, NY 12834; the form lists phone and fax numbers but does not specify a submission method. The $50 discontinuance fee is payable at the time of the request.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Discontinuance of Service form.
- 2
Complete The Request
Enter the premises, mailing address, account and meter information, and current meter reading.
- 3
Sign And Date
Sign and date the request to certify your authority to request the service shutoff.
- 4
Submit To The Village
Submit the request to the Village of Greenwich; the form lists a $50 fee payable at the time of the request.
Frequently asked questions
- Do I need a notary for the Discontinuance of Service form?
- No. The form has a signature and date field but no notary block, and it lists no notarized or sworn attachment.
- How do I submit the Discontinuance of Service form?
- The form lists the Village of Greenwich at 6 Academy St., Greenwich, NY 12834, and includes phone and fax numbers, but does not specify a submission method.
- What does the water service discontinuance form request?
- It asks for the premises, final bill mailing address, account and meter details, current meter reading, and the property owner’s or representative’s signed certification.
- What fee does the form list?
- The form lists a $50 water discontinuance fee payable at the time of the request.
Need something notarized?
This Discontinuance of Service doesn’t need a notary — but if you have another Greenwich form that does, a commissioned online notary can help.