Please complete this form if you are the owner of the property being disconnected.
* Please note that if the service address is in the City of Waterloo or the Township of Woolwich, and you plan to demolish the building, you must include a Demolition Tracking Sheet with your application form. You will require a completed copy of the City of Waterloo’s Tracking Sheet or the Township of Woolwich’s Permit before proceeding.
*if the service address is in the City of Kitchener or the Township of Wilmot, and you plan to demolish the building, you must include a Demolition Tracking Sheet with your application form. You will require a completed copy of the City of Kitchener Tracking Form or the Township of Wilmot Tracking Form before proceeding.
Disconnection Authorization Form
Please complete this form to submit your request for disconnection