Stop Utility Service Agreement Form

SERVICE INFORMATION
Service Type
Reason to Stop Service
YOUR FORWARDING INFORMATION

*Water will be shut off anytime between the hours of 8 am - 4 pm on the effective stop service date. No specific times can be requested, as it depends on daily staffing and workflow. 

Auto-Pay Customers:  After you stop your service, we will create your closing bill and the payment will be withdrawn the following month.

AUTHORIZATION TO STOP SERVICE

By selecting the “I Accept” button, you are signing this Agreement electronically. You agree that your electronic signature is the legal equivalent of having signed this Agreement in writing. By selecting “I Accept” using any device, means or action, you consent to be legally bound by the terms and conditions of this Agreement. You further agree that no certification authority or third-party verification is necessary to validate your e-signature, and that the lack of such certification or third-party verification will not in any way affect the enforceability of your e-signature or any resulting agreement between you and the City of Lebanon. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access the account, and that such persons will be bound by the terms of this Agreement.