Temporary Water Service Disconnection Request Form

Managing property renovations or plumbing upgrades often requires temporary water service disconnection to ensure safety and compliance. This Temporary Water Service Disconnection Request Form streamlines the process for homeowners, property managers, and contractors working with municipal water utilities.

Whether you're replacing pipes, renovating bathrooms, or conducting major plumbing work, this form captures all essential information your water utility needs: property details, project timelines, licensed contractor information, and preferred disconnection and reconnection dates. The structured format ensures requests are processed quickly while maintaining accurate records for municipal compliance.

Built with Paperform, this template gives utilities and municipalities a professional, mobile-friendly solution that replaces paper forms and email chains. Conditional logic adapts the form based on project type and urgency, while automated email notifications keep applicants informed throughout the approval process.

Use Stepper (stepper.io) to automate what happens after submission—route requests to the appropriate department, update work order systems, send contractor notifications, and trigger follow-up reminders for reconnection appointments. You can also integrate with scheduling tools to coordinate site visits and inspection times.

This form template is trusted by municipal utilities, public works departments, water districts, and property management companies across the United States, Canada, Australia, and beyond. It's fully customizable to match your municipality's branding, policies, and specific service requirements.