Required fields are marked with asterisks (*)

Final Water Meter Reading Request Form

Please complete this form to request a final water meter reading when moving out of your property. This ensures your final bill is accurate and up to date.

Account Information

Service End Date

Account Number

Account Holder Name

Current Service Address

Are you the tenant or owner of the property?

Tenant

Owner

Service Forwarding Address

Address

City

Province

Postal Code

Phone number

Email Address

Contract Agreement

I/We hereby request that the Town of Midland discontinue billing for municipal water and sewer services at the address noted above, effective as of the specified move-out date. I/We acknowledge and agree to remain responsible for all charges incurred for these services up to and including the move-out date, as well as any applicable fees in accordance with the Water & Wastewater By-law.

Consent

I/we hereby consent to the above contract terms.

Account Holder’s Signature

Clear