Service Termination
12453 Highway 92, Woodstock, GA 30188
City of Woodstock Water Department Contact Info
Phone: (770) 592-6006 Fax: (678) 388-6352 E-mail: h2o@woodstockga.gov
SERVICE ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CUSTOMER NAME:
*
First Name
Last Name
BUSINESS NAME: (IF APPLICABLE)
REQUESTED TERMINATION DATE: (M-F - EXCLUDING HOLIDAYS)
*
-
Month
-
Day
Year
Click calendar icon to choose
MAILING/FORWARDING ADDRESS (REQUIRED FOR DEPOSIT REFUND):
*
Full Street Address
(Suite/Apt#)
City
State / Province
Postal / Zip Code
PHONE NUMBER:
-
Area Code
Phone Number
EMAIL ADDRESS:
example@example.com
Please Note:
Any deposit amount will first be applied to outstanding balances. After the final billing(s), if a credit balance remains, a check will be mailed to the forwarding address that was given above. This process can take up to 30 days.
CUSTOMER SIGNATURE: (USING THE MOUSE)
Submit
Should be Empty: