Skip to Main Content
Loading
Loading
IMPORTANT NOTICE
LOW PRESSURE & DISCOLORED WATER ALERT
Read On...
Bill Pay
New Customer
My Account
Notify Me
How Do I…
About Us
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
ONWASA Forms
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Disconnect Request
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Customer Request: Disconnection of Water Service
Please complete the following information in its entirety to have your services disconnected. Upon receipt of your request, ONWASA will complete the disconnection within five (5) business days from the date confirmed. (Completed Mon-Fri, 8 a.m. to 5 p.m.)
Date you would like water service disconnected:
*
Customer account number:
*
Customer name (as listed on water bill):
*
Service address that needs to be disconnected:
*
Forwarding address for final bills and/or deposit refunds:
*
Telephone numbers where you may be reached for any further questions:
*
Email address:
*
**Please be advised, after completion of service order for disconnection, you will receive a confirmation number by email from an ONWASA customer service representative. However, if you do not receive a confirmation number within 48 hours of submittal, you need to contact our office at (910) 455-0722 to verify request was received. Should you have further questions or require additional information, please contact us.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow