Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

RESIDENTIAL WATER / WASTEWATER DISCONNECTION REQUEST

  1. 1


  2. CITY OF LIBERTY HILL

  3. UTILITY BILLING DEPARTMENT
    926 Loop 332 - P.O. Box 1920
    Liberty Hill, Texas 78642
    (512) 778-5449
    UtilityBilling@LibertyHillTX.gov

  4. RESIDENTIAL WATER / WASTEWATER DISCONNECTION REQUEST

  5. To disconnect your utility account and services, please enter the required information below.

  6. Service Address for Disconnection:

  7. Service ONLY Monday - Friday 8:00 a.m. - 5:00 p.m. 24 HR notice required. No Service on Holidays

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Leave This Blank:

  10. This field is not part of the form submission.