2. Stop Service Form
4. Owner or Tenant*
   -- Select One --OwnerTenant
6. Selling or Renting Out*

   1. Selling
   2. Renting Out
7. Return to Landlord or Selling*

   1. Return Service to Landlord
   2. Owner Selling Property
9. Billing End Date*
   We cannot go back in time to get a meter read. Please allow several days for us to obtain a read. Final read may be estimated based on move out date.
10. End Date Note
    Owner: Use closing date or move out date (whichever is later) if selling property. If renting out use day before tenant takes possession. Tenant: Use lease end date of move out date pending your agreement with landlord.
12. Service Address*
14. Name on Account*
16. Phone Number*
17. E-mail Address*
19. Forwarding Address*
    Where you want your final bill to go. It should not be the same as the service address.
21. Any additional information you would like to include with your request?
25. New Owner Name
    If known
26. New Owner Phone Number or E-mail
    If known
28. Landlord or Property Management Name
29. Landlords Phone Number
31. Tenant Name
32. Tenant Phone Number
34. Property Management Company
35. Property Management Phone Number
39. Terms of Agreement*

    1. By clicking this box, I agree to terms and conditions as set out in this application and in the City of Gig Harbor Municipal Code.
41. The undersigned acknowledges that when cancelling an account, the utility division needs at least 3 business days to process requests. I agree that all applicable rates and charges for water, sewer, and/or storm service to the above property shall be paid in accordance with the now existing ordinance and regulations of the City. If final utility payments should be resolved through escrow due to a property sale, please contact our office to check the status. Final bills for customers enrolled in automatic payments will be deducted automatically.
43. Rental Properties: Billing transfer to the tenant or occupant is for the convenience of the property owner. This transfer does not relieve the owner of responsibility for payment should the tenant/occupant of the service address fail to pay their charges. Collection of outstanding charges for vacated tenants is the responsibility of the owner. The owner of record will be mailed a duplicate delinquent notice should the account become past due. All charges remain against the property and failure to pay may result in discontinuation of service and/or a lien on the property.
45. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
47. Electronic Signature
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field