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City of South Jordan Utah

Request Temporary Suspension of Utility Service

  • This form is to be used for situations in which you will be away from the residence for several months and want the water turned off and/or the cans picked up. You will not be charged for services during that period but will have to pay a disconnect, reconnection, and garbage suspension fees on the following bills.

  • Customer and Account Information

  • Services to be Suspended

    (Please contact the city at least 24 - 48 hours before to have your water service restored and garbage cans delivered.)
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

    There is a $35.00 disconnection fee and a $35 reconnection fee. The fee will be reflected on the appropriate billing statement. Your water service will be inactive and you will not be billed for services while the meter is off.

  • Date Format: MM slash DD slash YYYY
  • You may leave empty containers on the street for pickup. A $22 fee be charged for the temporary suspension of garbage/recycling services.

  • FORWARDING INFORMATION

    By checking the box above you show that you agree to the above terms
  • I certify that all information contained on this form is true to the best of my knowledge. I understand that misrepresentation or omission of facts in this form may cause my water to be disconnected – with the associated fees added to my account.
  • Use your mouse or on a touch screen use your finger or stylus pen to sign in the box above

  • Date Format: MM slash DD slash YYYY

  • Signature Date
    09/25/2020
  • This field is for validation purposes and should be left unchanged.