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 a premises.
What this form is
This form requests that the Village of Greenwich turn off water service at the curb. The form states that service ends when it is turned off and that the applicant remains liable for water charges accrued until then. It asks for the request date, premises, applicant’s name, final bill mailing address, account and meter details, and signature; a $50 discontinuance fee is payable at the time of request.
Who needs it
A property owner or authorized representative who wants the Village of Greenwich to turn off water service at a premises should complete this request.
How to submit it
Submit the request to the Village of Greenwich, 6 Academy St., Greenwich, NY 12834; the form lists a $50 discontinuance fee payable at the time of request.
About notarization
This document is signed without a notary; the signer certifies their authority and signs and dates the request.
How to submit this form
- 1
Download The Form
Download the Village of Greenwich Discontinuance of Service form.
- 2
Complete The Request
Enter the request date, premises, name, mailing address, account and meter details, and current meter reading.
- 3
Sign And Date
Sign and date the request, certifying that you are the property owner or an authorized representative.
- 4
Submit To The Village
Submit the request to the Village of Greenwich at 6 Academy St., Greenwich, NY 12834, with the $50 fee payable at the time of request.
Frequently asked questions
- Do I need a notary for the Discontinuance of Service form?
- No. This document is signed without a notary; the signer certifies their authority and signs and dates the request.
- How do I submit the Discontinuance of Service form?
- Submit the request to the Village of Greenwich, 6 Academy St., Greenwich, NY 12834. The form states that the $50 discontinuance fee is payable at the time of request.
- Who can request water service discontinuance?
- The form says the signer must be the property owner or their representative and must have authority to request the service.
- When does water service end?
- The form states that discontinuance is effective on the date the service is turned off. The applicant remains liable for water charges accrued until that time.
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.