Liverpool, TX · Brazoria County
Customer Request to Turn Off Water
Liverpool customers use this form to request that water service be turned off and provide account, service address, requested date, and final bill mailing details.
What this form is
This form lets a Liverpool water customer request a turn-off date for service at their address. It asks for the date, account number, customer name, service address, requested turn-off date, and address for the final bill; the customer also signs and dates it. The form includes fields for office use to record the actual turn-off date and deposit or refund amounts.
Who needs it
A Liverpool water customer requesting that service be turned off should complete this form and provide a final-bill mailing address.
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 simply signs and dates the request.
How to submit this form
- 1
Download the Form
Download the Customer Request to Turn Off Water form.
- 2
Complete the Customer Details
Enter the date, account number, customer name, service address, requested turn-off date, and final-bill mailing address.
- 3
Sign and Date
Sign and date the customer request.
- 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
- Do I need a notary for the Liverpool water turn-off request?
- No. This form is signed without a notary; the customer simply signs and dates the request.
- How do I submit the water turn-off request?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the form ask for?
- It asks for the date, account number, customer name, service address, requested turn-off date, final-bill mailing address, and customer signature and date.