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Start/Stop Service Request
Leave This Blank:
To Start Service
Service Address
*
City
*
Riverside
Perris
Murrieta
State
Zip
Your Name
*
Name(s) on the account
*
Owner or Tenant?
*
Owner
Tenant
For tenant accounts a signed copy of Lease or Rental Agreement is required.
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Request Date for Service
Phone Number
Secondary Phone Number
Billing Address
City
State
Zip
Email Address
*Western Staff will contact you to verify information before service is started.
To Stop Service
**WATER WILL BE SHUT OFF ON THE STOP SERVICE DATE**
Your Name
Service Address
City
Riverside
Perris
Murrieta
State
Zip
Stop Service Date
Forwarding Address
City
State
Zip
Phone Number
Email Address
* indicates required fields.
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