Section 1 of 1 in this document

Disconnect Water Service Application

To request water service disconnection online, Cobb County Water System requires up to 7 business days notice. If you need service disconnection sooner, please call 770.419.6200. Service will NOT be disconnected on weekends or holidays. Please ensure your contact number(s) and email address are correct. Current deposit(s) on the account will be applied to any outstanding or final charges. Any refunds will be mailed to your forwarding address.

* Denotes required field

End Water Service On (Please DO NOT put in past date).

Water Account Number

Full Name on the Account

Social Security No. (last 4 digits)

Please enter SERVICE Address *

Street Address

Please enter the City and Zip

City

Zip

Primary Contact Phone Number

Secondary Phone Number

By checking the checkbox below, I hereby acknowledge and confirm that I am the account holder, and I authorize the above-referenced changes to my account.

Confirm

Disconnect Water Service Application

End Water Service On (Please DO NOT put in past date).

Please enter the City and Zip

Please enter the FORWARDING Address

By checking the checkbox below, I hereby acknowledge and confirm that I am the account holder, and I authorize the above-referenced changes to my account.