[Imported Form] Santa Margarita Water District

Twenty-four business hour notice is required to stop service. You will receive a confirmation number once your request has been completed, which will be used to determine final date of responsibility.

Account Number *

Customer Number *

Name on Account *

First Name Last Name

E-mail Address

Service Address *

Zip Code *

Mailing Address for Final Bill *

City *

State *

Zip Code *

Daytime Telephone Number

Area Code Phone Number

Date of Termination (Monday - Friday) *

Month Day Year