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2. Request to Stop Service
   You may stop service by completing and submitting this form. If you have any problems submitting your information or if you have any questions regarding service, please call 540-507-7300, Press Option 1.
3. Processing Time
   We need a minimum of one business day advance notice to stop service Monday - Friday, 8 a.m. - 4:30 p.m., and we are closed on weekends and holidays. Call us before 4:30 p.m. on a Friday to stop service on a Monday.
5. Customer Account Number*
6. Discontinue Service Date*
   Discontinue Service Date
8. First Name*
9. Middle Name*
10. Last Name*
12. Stop Service at this Address*
14. City*
15. State*
16. Zip Code*
18. Primary Phone Number*
19. Other Phone Number
21. Email Address*
23. Final Billing Address
    Provide your forwarding address for your final bill.
25. Address*
26. Apt. / Suite Number
28. City*
29. State*
30. Zip Code*
32. Phone Number After Disconnection Date*
34. Authorization and Conditions
    By submitting this form, I certify that the information I have provided is true and accurate and that I am authorized to make this request to stop service at the service address listed. Further, I hereby agree that I am liable for, and agree to pay the charges for, the water and sewer services consumed at the service address identified herein until such time as the disconnection request is acknowledged and completed by Spotsylvania County Utilities. Spotsylvania County Utilities requires a minimum of one business day advance notice to stop service, Monday - Friday, 8 a.m. - 4:30 p.m., and we are closed weekends and holidays. Spotsylvania County Utilities will not back-date any stop service request.
36. First Name*
37. Middle Name*
38. Last Name*
40. Primary Phone Number*
41. Submission Date & Time*
    Submission Date & Time

    Submission Date & Time
42. I am the customer and have the authority to make this request. Further, I acknowledge the conditions listed above.
    -- Select One --YesNo
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field