Water Service Interruption Request

2. Name / Business*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
15. Reason for Service Interruption:*
17. Location of Service Interruption*
19. Estimated duration of service interruption*
    Estimated duration of service interruption Start Time

    —

    Estimated duration of service interruption End Time
21. Note

    The contractor is responsible for contacting all critical customers and non-residential customers within the anticipated affected area to gather their feedback before selecting an initial request date. Operations and Water Services staff can assist you in determining the affected areas before making a formal written request. To accommodate the customers' needs or special events, it may be necessary to schedule work during evenings, early mornings, overnight, or weekends. We highly encourage clear and early communication with affected customers to reduce the need for rescheduling service interruptions.

    Please find below the corrected and rephrased version of the given text, suitable for a government website:

    Once you submit your request, we will review it and provide you with a map of the affected area. The contractor and the City will then review the map and adjust the service interruption date, if necessary. The map will contain information on all known affected customers, critical customers, valves to be operated by the City, and fire hydrants that will be temporarily out of service.

    Please note that the City reserves the right to cancel or reschedule the service interruption if it is not in the best interest of the public or water distribution system at that time.

23. Today's Date*
    Today's Date
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field