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Please fill out the below form and submit to stop or discontinue your utility service with Mishawaka Utilities. You will be notified via email when your request has been completed. We will also contact you via phone or email if additional information is required to complete your request.

First Name:*

Last Name:*

Phone Number*

Email*

MU Account Number*

Service Address Line 1:*

Service Address Line 2:

City:*

State:*

Zipcode:*

Please choose the date you are requesting the service be stopped:*

Electric

Water

Sprinkling

OPL (Overhead Protective Light)

Please select which services are being stopped below; check all that apply

Address Line 1:*

Address Line 2:

City:*

State:*

Zipcode:*

Please provide a forwarding address for any final bill or refund check to be mailed to

Last 4 digits of account holders SSN for verification:*

Phone Email

How would you prefer to be contacted:*

Date

Signature:

Service cannot be stopped on a weekend or holiday, if a weekend or holiday is chosen the next business day will be used.