Start/Stop Service

Start Service
To begin service, please print and fill out this form
Once filled out, please bring a completed form along with proof of lease/ownership and a photo ID to Bethany City Hall, located at 6700 NW 36th St, between 8a - 5p Monday - Friday. 
Stop Service
Date to End Service:


Address to Disconnect:

Forwarding Mailing Address:



Account Number: 

Date Requested: 


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