Important Update - NEW Back Flow - Cross Connection -- information

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Water Billing Termination/Move-Out Form

Please complete the information below to terminate water and/or sewer service. For additional information please call the District Office 708-448-3166.

You will receive your final bill within 10 days of the closing date.

Current Status*
- Owner
- Tenant
Account Number*
Name on Account*
Service Address*
Street Address Address Line 2 City State ZIP Code
Closing Date*
MM slash DD slash YYYY
Forwarding Address*
Street Address Address Line 2 City State ZIP Code
Contact Phone*
New Owner Name*
New Tenant*