STOP SERVICE APPLICATION

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City of Boone Water/Sewer Utilities Online Customer Service

Applicant Information First Name   * Middle Initial   Last Name   * Date of Birth (click on date from calendar)   * * Social Security Number (xxx-xx-xxxx)   * * Driver's License Number   Driver's License State   Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Employer   Work Telephone   Are you Married?   Yes No *
Your Boone Municipal Utilities Account Number: (your account number is printed on your bill)   *
Date you want service to stop: (click on date from calendar)   * * * Dates available are Monday through Friday, excluding Holidays. A requested date may be changed up to two (2) work days to coincide with an existing request or if the date is not a normal work day.
Service Address Information Street Address   * Apt. Lot or Unit Number   City   * State   Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code   *		Forwarding Address Information Street Address   * Apt. Lot or Unit Number   City   * State   Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code   *
Other Information Current Phone Number   * Will this be your telephone number at your new address?  Yes No * E-mail Address   * *
Additional Comments * 500 character maximum