Disconnect Form

The link below is this form in a printable version, if you would prefer to submit your application in person, email or fax.

Disconnect Form


BY SUBMITTING THIS FORM, YOU UNDERSTAND:

  • If form is submitted online, emailed or faxed in, I MUST CALL to confirm application was received.
  • Disconnect can NOT be back dated.
  • If there is a deposit on the account, it will be applied to the final bill as a credit.
  • I am giving the City of Waxahachie access to my property to maintain and read the water meter.
  • The water/sewer is being turned off at my request, therefore I hereby waive all claims against the City of Waxahachie and its employees to any damages caused to the property while the water/sewer is being turned off.


- Same Day Turn Off If Turned In Before 3:00 PM

- Service disconnection only Monday-Friday. No service disconnection on Holidays. (A date must be entered)