Stop ServiceDate (required)Name on the Account (required)Account Number (required)Service Address (required)New Mailing Address (required)Phone Number (required)Email Address (required)Move Out Date (e.g., escrow close date, etc.) (required)Property Transfer Information (required)Owner Selling PropertyOwner Moving Out / Renting PropertyRenter Moving OutOtherProvide contact name and number for the new occupant, and describe "Other" selection above if applicable (required)Seven (7) days prior to vacating the premises or selling the property, the customer shall notify the Central Water District. If discontinuance is not ordered, the customer shall be liable for charges whether or not any water is used. By signing this form, the requestor also agrees to promptly pay their water bill. Bills are due and payable on presentation. Rates and charges which are not paid on or before the due date printed on the Final bill shall be delinquent. The penalty for non-payment of charges for water service shall be $25.I have read and agree to the statements above. (required)YesNoYour Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
