Turn On Off Service Request Form

Request Water Service Turn On / Off

Please complete the following information for the location to be serviced:
**Your request will be processed after it is verified by telephone.**

Note: * indicates required fields for submitting the request


Please select a Service Request: *
	New Service Turn Off Current Service

Contact Information
Name*
Address*
City*
State*
Zip*
County
E-mail
Daytime Number*

Best time for us to contact you Monday-Friday between 8:00 am and 6:00 pm


*Date of Service to be turned on/off (Please allow a minimum of 3 business days for your request to be processed. You will be contacted for verification before water is turned on.)**


Please provide a mailing address if different from location to be serviced:


Have you had service with us before?
yes no
If so, where?
Are you buying or leasing?	Buying Leasing Not Applicable

Is there someone else who may inquire about your bills?
Please enter the person's name
New Home Number
Work Phone Number
Cell Phone Number

Official City of Charlotte & Mecklenburg County Government Web Site