Stop Service Form - City of Goodyear Utility Application

Request to Terminate Services

Complete the online form below to stop service. Allow three (3) business days from the date of submission for processing. Please note the required fields. Only completed forms will be accepted for submission and processed. Submitting this form will terminate all services provided to your address by the City of Goodyear.

City Services Received:

Water Sewer & Sanitation

Sewer & Sanitation

Sanitation Only

Construction Meter

Account Number

Are you a Liberty Utilities customer at this same address?

Yes No

If you are a 'Sanitation Only' customer you must provide your Liberty Termination Confirmation Number. If you do not provide the confirmation number your account will remain active and this request will be deemed incomplete. Call Liberty Utilities to get the termination confirmation number at 623-935-9367.

Liberty Termination Confirmation Number

Date to stop service

Monday thru Friday Only

Customer Name

Service Address

Zip Code

Goodyear 85338

Goodyear 85395

Litchfield Park 85340

Forwarding Address

Street Address

Apt #

City

State or Province

Zip Code

Phone Number

Any Comments About Forwarding Address

Email Address

Reason for Termination

Owner sold the home

Renter moving out

Other

If 'Other' above please specify here

For Service Accounts South of I-10

Trash containers are to remain at the residence. Please leave containers on site upon your departure.

For Service Accounts North of I-10 (Sanitation Only)

Sanitaion services will not be terminated unless a Liberty termination confirmation # is provided. Trash containers are to remain at the residence. Please leave containers on site upon your departure.

Surepay and Click2Gov Autopay Customers - Final Bill Information

Be advised the final bill will still automatically draft. A bill for your final payment will be mailed to the forwarding address supplied above for your records.

Declaration

Per City Code, any occupied dwelling connected to a water source must have an active sanitation account receiving City sanitation services.

By submitting this form I agree that under penalties of perjury, I declare to the best of my knowledge and belief, the information submitted is true, correct and complete.