Cancel Water/Sewer Account (Move Out Form)

CANCELLING WATER/SEWER ACCOUNT (Moving Out)

If you are moving out of the City of Durand, you must notify the Utility Dept to update your water/sewer account information. Please use the form below indicate that you are moving and are requesting a final utility bill.

Note: An asterisk (*) denotes a required field.

Full Name *

Phone *

Email *

Effective Date *

Service Address (include apartment number, if applicable) *

Are you the owner or tenant? * Owner
Tenant

If tenant, list owner's name.

Forwarding Address *

City, State, Zip *

Final Utility Bill Delivery Preference * Email
Mail

By submitting this form, you understand that you are responsible for the utility costs at the above listed address.