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Disconnect Services

  1. Disconnect Services

    To have your current water, sewer, and any trash or recycling services cancelled, please fill out the following form. Please allow 1-2 business days to process your request. 

    Please contact Utility Billing at or 940-648-3290 with any questions. 

  2. Please provide the service address you wish to be disconnected.

  3. Service Type*
  4. Forwarding Information

    Please provide your forwarding address for the return of any remaining amount of the $150 Water Deposit that was paid when services first began. 


  5. Account Privacy*

    With your authorization, the Town of Northlake can withhold the release of your personal information (i.e. phone number, social security number, address) pursuant to Section 182.052 of the Texas Utilities Code. Would you like the Town of Northlake to keep your information confidential?

  6. Billing Options*

    Your final utility bill can be sent via e-mail or postal service. Please choose how you would like to receive your bill. Select all that apply.

  7. Authorization of Account Termination*

    I agree and understand that I am terminating my services and I am responsible for this account and all bills must be paid on or before the due date or be subject to late charges. Any deposit credit will be refunded via check and sent to the forwarding address provided above.

  8. Enter the account number from your bill for the account you wish to terminate:
  9. Bill example
  10. Leave This Blank:

  11. This field is not part of the form submission.