Glenn Heights, TX · Dallas County
Water Service Disconnect and Transfer Form
This form lets an account holder or other requester ask to disconnect or transfer water service and provide account, service, and forwarding details.
What this form is
Use this form to request a water service disconnection or transfer. It asks for the requested date, account name, service address, requester’s name and phone number, and forwarding address; transfer requests also include an address, and the form notes a $35 fee for all transfers. The requester signs and dates it, and a city employee records who took the request.
Who needs it
A person requesting a water service disconnection or transfer can use this form to provide the account and contact details requested.
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 form is signed without a notary; the requester signs and dates it, and no notarized attachment or related step is listed.
How to submit this form
- 1
Download The Form
Download the Water Service Disconnect and Transfer Form.
- 2
Complete The Request Details
Enter the requested date, account and service details, requester contact information, and forwarding address.
- 3
Review Transfer Details
For a transfer, provide the address and note the form’s stated $35 fee.
- 4
Sign And Date
Sign and date the form. No attachments are listed on the form.
- 5
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 Water Service Disconnect and Transfer Form?
- No. The requester signs and dates this form without a notary, and it lists no notarized attachment or related step.
- How do I submit the Water Service Disconnect and Transfer Form?
- The form does not provide submission instructions. 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 disconnect or transfer date, account name, service address, requester’s name and phone number, and forwarding address. Transfer requests also include an address.
- Is there a fee for transferring water service?
- The form states that there is a $35 fee on all transfers.
Need something notarized?
This Water Service Disconnect and Transfer Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.