Water Disconnection Form - City of Mattoon, Illinois

City of Mattoon Water Disconnection Form

Questions? Call 217-235-5483.
Name*
First Last
Email*
Phone*
Account Number:
Service Address*
Street Address Line 2 or Apartment Number City State ZIP Code
Final bill to be mailed to:*
Street Address Address Line 2 City State ZIP Code
Service End Date:*
MM slash DD slash YYYY
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