2. Complete and submit the form below to stop your utility service. We request five working days notice to stop service. Stop service date must fall on Monday through Friday, excluding holidays. For more information, contact the Utility Billing Department at 319.248.1715.
6. Account Information
8. Utility Account Name*
9. Utility Account Number*
11. Service Address*
13. Daytime Phone Number*
14. Email Address*
16. Forwarding Address, City, State, & Zip Code*

    (where your final bill and/or deposit refund will be mailed. Include the city, state, and zip code.)

17. Account Type*

    1. Owner
    2. Renter
21. Stop Service Date*
    Stop Service Date
    If you are a renter, the stop service date is typically your lease end date. If you are an owner, the stop service date is typically your closing date. Stopping service prior to the lease end date or closing date may result in an incorrect billing period.
25. Landlord Information (complete if you are a renter)
27. Landlord's Name
28. Landlord's Phone Number
32. Deposit

    If you have a deposit, it will be applied to the final bill and any remainder will be refunded to the account holder. Deposit refunds are processed two to four weeks after the termination of service and are mailed to the account holder to the forwarding address provided above.

34. If you have trash and recycling service through the City of Coralville, the containers belong to the home address. Please leave your City of Coralville trash cart(s) and recycling bin(s) at the property for the next resident to use.

36. Additional Comments
38. If you select "Receive email copy," please add noreply@civicplus.com to your email address book or safe sender list.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field