The following information you are submitting is secured through browsers that have 128-bit encryption enabled.

Termination requests must be submitted one week in advance.
Please note that The City of Pearland only terminates utility services Monday through Thursday. If you request service to be terminated on Friday, Saturday or Sunday, the termination will not be processed until the following Monday.

*For problems or inquiries please contact 281.652.1603. 

1

Effective Date

 *

Effective Date

2

Is this a temporary fire hydrant meter?  

Is this a temporary fire hydrant meter?

Yes

No

3

Residential properties are expected to have a trash cart and bin; the all black bin is for regular trash and the green bin with a yellow lid are for recycling.
Do you have an additional trash cart other than the two listed above?

Residential properties are expected to have a trash cart and bin; the all black bin is for regular trash and the green bin with a yellow lid are for recycling. Do you have an additional trash cart other than the two listed above?

Yes

No

4

Requested by

Requested by

Person

Company

5

Service Holder

Service Holder

Person

Company

6

Name of Customer / Business

 *

Name of Customer / Business

7

Last four digits of Driver's License or Tax ID number

 *

Last four digits of Driver's License or Tax ID number

8

Service Address

 *

Service Address

9

Forwarding Address for Final Bill

 *

Forwarding Address for Final Bill

10

City

 *

City

11

State

 *

State (Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

12

Zip Code

 *

Zip Code

13

Phone Number

 *

Phone Number ext.

14

Cell Number

 *

Cell Number ext.

15

Email Address

Email Address

16

Customer Account Number

 *

Customer Account Number

17

The following statements must be checked for termination:

 *

The following statements must be checked for termination:

I will receive a final bill that must be paid by the stated due date.

If the final bill is not paid by the due date, the account will be referred to a collection agency and added fees will incur.

The delinquency will be reported to all credit agencies.

I understand additional carts that are not emptied and placed on the curb for Frontier Waster Services pickup will result in additional fees on my water account.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

Page 1 / 1