Wellston, OH · Jackson County
Termination of Water Service Agreement
This agreement records a customer's request to end water service and provides Wellston with account, disconnection, occupancy, and forwarding-address information.
What this form is
Customers use this agreement to record the end of water service, including the account number and requested date of disconnection. It asks whether anyone will remain in the home after that date and requests a forwarding address. The form includes spaces for the customer's and clerk's signatures.
Who needs it
A Wellston water customer ending service should complete this agreement with account, disconnection, occupancy, and forwarding-address details.
How to submit it
Submit it to the Water Clerk's Office at City of Wellston, 203 E. Broadway, Wellston, Ohio 45692.
About notarization
This agreement is signed without a notary; it has signature spaces for the customer and clerk, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Agreement
Download the Termination of Water Service Agreement.
- 2
Complete The Agreement
Enter your contact and account details, disconnection date, occupancy answer, and forwarding address.
- 3
Review And Sign
Review the information and sign in the customer signature space.
- 4
Submit To The Water Clerk
Submit the agreement to the Water Clerk's Office at 203 E. Broadway, Wellston, Ohio 45692.
Frequently asked questions
- Do I need a notary for the Termination of Water Service Agreement?
- No. The agreement has signature spaces for the customer and clerk, but no notary or notarized attachment is mentioned.
- How do I submit the Termination of Water Service Agreement?
- Submit the agreement to the Water Clerk's Office at City of Wellston, 203 E. Broadway, Wellston, Ohio 45692.
- What information does the agreement ask for?
- It asks for your name, address, phone, account number, disconnection date, whether occupants will remain, and a forwarding address.
Need something notarized?
This Termination of Water Service Agreement doesn’t need a notary — but if you have another Wellston form that does, a commissioned online notary can help.