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Utility Service Turn Off Form

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Services to be Turned Off*
Please check all that apply.
1. Water
2. Sewer
3. Trash
4. Yard Waste Cart
Turn-Off Date Desired*
Turn-Off Date Desired
NO WEEKEND OR HOLIDAY SERVICES
Service Address*
City*
State*
Zip Code*
Subdivision
Own / Rent*
1. I own my home.
2. I rent.
Property Owner Name
(rental only)
Owner Address
(rental only)
Owner Address City
Owner Address State
Owner Address Zip
Owner Phone Number
Name for Billing*
Date of Birth*
Date of Birth
Driver License / Government ID*
Forwarding Address C/O
Forwarding Address
Forwarding Address City
Forwarding Address State
Forwarding Address Zip
Daytime Phone Number*
Evening / Alternate Phone Number
Email Address
Trash Can Delivery Option*
1. City to Pick Up Containers: I will leave my trash/yard waste container(s) at the curb for the City to pick up.
2. Taking to Another St. Peters Location: I am moving from one location in St. Peters to another. I will bring my container(s) with me when I move.
The address I'm taking the containers to is
(if in St. Peters)