Termination of Utility Service Online Form

Print
Press Enter to show all options, press Tab go to next option

Please correct the field(s) marked in red below:

The following information you are submitting is secured through browsers that have 128-bit encryption enabled.

Please note that The City of Pearland only terminates utility services Monday through Thursday. If you request service to be terminated on Friday, Saturday or Sunday, the termination will not be processed until the following Monday.

*For problems or inquiries please contact 281.652.1603. 

1
Effective Date
 *
2
Is this a temporary fire hydrant meter?  
Is this a temporary fire hydrant meter?
3

Requested by

Requested by
4

Service Holder

Service Holder
5
Name of Customer / Business
 *
6
Service Address
 *
7

Forwarding Address for Final Bill

 *
8

City

 *
9

State

 *
10

Zip Code

 *
11

Phone Number

 *
12

Cell Number

 *
13

Email Address

14

Customer Account Number

 *
15
The following statements must be checked for termination:
 *
The following statements must be checked for termination:
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code