Bellevue, WA · King County
Disconnection of Water/Sewer Service
This form records a request to disconnect water or sewer service and provides information for the applicant and city utility staff.
What this form is
The Disconnection of Water/Sewer Service form collects applicant and service-location details, including the owner’s name, mailing address, service address, legal description, and utility billing account number. It also has sections for city staff to record inspection information, service details, comments, and final approval. The form does not state when the city requires it or provide a submission procedure.
Who needs it
An owner or applicant seeking disconnection of water or sewer service can use this form to provide service and property information.
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 form includes city staff signature and date fields, and identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Disconnection of Water/Sewer Service form.
- 2
Complete Applicant Information
Fill in the owner, contact, mailing address, service address, legal description, and utility billing account details.
- 3
Gather Attachments
The form does not identify any attachments to gather.
- 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
- What is the Disconnection of Water/Sewer Service form for?
- It collects applicant and service-location details and includes sections for city staff to record inspection information and final approval.
- What information does the form ask for?
- It asks for owner and contact details, mailing and service addresses, a legal description, and utility billing account information.
- Do I need a notary for the Disconnection of Water/Sewer Service form?
- No. The document is signed without a notary; it includes city staff signature and date fields and identifies no notarized or sworn attachment.
- How do I submit the Disconnection of Water/Sewer Service form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Disconnection of Water/Sewer Service doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.