Request to Terminate Services for Temporary Fire Hydrant Meter

For a prompt response, please fill the request out in its entirety.

Date Requesting Termination * +

Account Number *

Location of Meter (Cross Streets) *

+-

Contact Information

Company Name *

Billing Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Terms & Conditions

1. I understand that after submission of this request, the city will pick up the meter within (2) two business days.

2. I understand that the meter and backflow device will be tested upon retrieval of the meter and my company will be charged for any damages, repairs, or replacement costs.

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