Service Address * Account # * Name on Account * Forwarding Address * City * State and Zip Code * Reason for Closing Account * Change of Ownership Closing Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Should be legal escrow closing date for owners, or final date of rent-back. Or move out date of tenant. If there is a discrepancy staff may need to contact you. Phone Number * E-mail Moving within District? Are you moving to another address serviced by SLVWD? Yes No New Address, if different than forwarding address above Comments Leave this field blank
