PWCSA: Request to Discontinue Service


Prince William County Service Authority

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Request to Discontinue Service

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You may request termination of water and sewer service with Prince William County Service Authority by completing and submitting your information. If you have any problems submitting your information or if you have any questions regarding service, please send an e-mail CUSTOMERSERVICE@PWCSA.ORG or call (703) 335-7950.

You will receive an e-mail acknowledging your submitted information. Please be sure we have your correct telephone number(s) and e-mail address. Respond to all appropriate questions and note the disclaimer on the bottom of the page. Please verify your information carefully prior to submitting.

*Required information

CUSTOMER INFORMATION (Regarding your current account)

* Account Number: (Required field - cannot proceed if not given)


* First Name:		Middle:	* Last Name:

Service Address
Street:		Apt.#: if applicable	Suite#: if applicable

City:		State:	Zip Code:


* Home Phone:		Work Phone:	Ext:

Last 4 digits of your Social Security Number:


*E-Mail Address
	If you have no email address check here:


* REQUESTED DISCONNECT DATE
Disconnect Date
We do not initiate or terminate on weekends or holidays. Please allow two working days for request to become effective. Work orders for weekends or holidays will be scheduled for the next available business day.

ADDRESS FOR SENDING FINAL BILL

*Street:		Apt.#: if applicable	Suite#: if applicable

* City:		* State:	* Zip Code:


TERMINATION INFORMATION PROVIDED BY:

* Name:		* Phone Number:


Relationship (if not the customer):



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Disclaimer

PWCSA's forms and other interactive materials on this site utilize conventional Internet e-mail and other communications capabilities. We cannot know when problems arise on the Internet or when equipment incompatibilities distort messages.

Therefore, please understand that: Prince William County Service Authority is not responsible for technical, hardware or software failures of any kind in relation to any use of this Internet site. We are not responsible for incomplete, distorted or delayed computer transmissions. Under no circumstances will PWCSA be liable for damages (including without limitation punitive incidental or consequential damages or loss profits) resulting from the use of the information or interactive forms on this site.

The information and forms on this site are presented "as is" and, to the fullest extent of the law, without warranties of any kind. PWCSA makes no representations or warranties about the merchantability or fitness for any particular purpose of the information contained in the documents and related pictures and graphics on this site.

PRIVACY

As a PWCSA customer, your privacy is of the utmost importance. The information in our customer records has always remained confidential and has never been sold. Information gathered via the PWCSA Internet site would likewise not be sold or used outside our company. Information provided by visitors to the PWCSA Internet site and gathered from server records about visitors may be used internally by PWCSA to enhance the efficiency and usefulness of the site, and within the company's own efforts to improve customer service. Information from any internal customer records may, on occasion, be used to improve customer service.

Despite any representations here or elsewhere within the PWCSA Internet site, PWCSA reserves the right to disclose any information in its possession if required to do so by law or upon a good-faith belief that such action is necessary to comply with the law, to protect or defend the Authority's right or property, or to respond to an emergency situation.

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