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2. Use this form to terminate water service for an account that is in your name. If you need to terminate water service for an account that is not in your name, please contact our office at 817.249.1250 for assistance.

4. Name on Account*
   Enter the name on the BWA account that you want to terminate.
6. Your Email Address*
8. Account Number*
   Enter the BWA account number.
10. Service Address*
    Enter the service address where you want to terminate service.
12. End Date*
    End Date
    Enter the date that you want the service to end. Dates must be Monday through Friday and not be on a holiday.
14. Forwarding Address
    Enter the forwarding address for your final bill.
16. Address*
18. City*
19. State*
20. Zip Code*
22. Upload ID*
    Please upload a copy of your valid government-issued photo ID for verification.
26. Phone Number and Email
    Please enter your phone number and email address. BWA staff will contact you if there are questions about this request.
28. Phone Number*
30. Email Address*
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field