Closeout Request Form

In order to protect your account we need to verify some information. Please enter in your account information as it appears on your bill.

The LSDC's Privacy and Identity Theft Prevention Policy requires that we confirm the identity of the customer requesting account information. This information is necessary to prevent fraud and will help us expedite your request.

If you do not have an account number please provide the amount of the last sewer bill paid.

If you do not have this information please enter '0' and fill out the remainder of this form and someone from our office will contact you. Submissions lacking this information may take longer to process.

Amount of last Bill Paid*

Usage Account Number*

As it appears on your bill

I do not have my account number

Service Address*

This is the address that is serviced

Last Name or Business Name*

As it appears on your bill

First Name*

As it appears on your bill

Phone Number*

Area CodePhone Number

E-mail*

Closeout Type Requested*

Usage AccountBetterment Acount

Date of closing*

MonthDayYear

Final Water Bill

Upload a File

Closing Attorney

I would like the LSDC to also send closeout bills to the attorney handling the sale of my property.

Attorney Name*

First NameLast Name

Attorney E-mail*

Special Instructions

Submission*

By checking this box and submitting this form I certify that I am the account holder and I am consenting for my email address to be used for communication on this account.

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