Covington, OH · Miami County
Utility Service Status Change Request
Covington utility customers use this form to request a water shutoff or curbside turn-on and acknowledge the related process and fees.
What this form is
This form lets a customer request a water shutoff at the curb or a water turn-on at the curb, selecting the applicable shutoff reason where required. It asks for the account name, service address, contact information, request date, and a signature. Customers also acknowledge the process and fees, including conditions for restoring service; the form does not guarantee the requested date.
Who needs it
A Covington utility customer requesting a curbside water shutoff or turn-on should complete and sign 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; the customer just signs and dates the request.
How to submit this form
- 1
Download The Form
Download the Utility Service Status Change Request PDF.
- 2
Complete Customer Information
Enter the name on the account, service address, email, and phone number.
- 3
Select The Requested Service Change
Choose a curbside water shutoff or turn-on and, for a shutoff, select the applicable reason.
- 4
Review And Sign
Review the general notes, enter the request date, and sign and date the form. No attachments are listed.
- 5
Submit To The City
Submit the signed form 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 form?
- The form lets a utility customer request a water shutoff at the curb or a water turn-on at the curb. It also asks the customer to select a shutoff reason when requesting a shutoff.
- What information does the request ask for?
- It asks for the name on the utility account, service address, email, phone number, request date, and customer signature. It also asks the customer to review and acknowledge the process and fees.
- Do I need a notary for this request?
- No. This request is signed without a notary; the customer just signs and dates the form.
- How do I submit the request?
- The form says the customer must complete it with a signature, after which a work order is placed with the Utility Department. It does not give a delivery address or submission method; check the city website for current contact details.
Need something notarized?
This Utility Service Status Change Request doesn’t need a notary — but if you have another Covington form that does, a commissioned online notary can help.