Request Final Reading – Moving Out – Water Utility | The Village of Lake Delton, Wisconsin

If you are moving out, please submit the form. When you submit this form, we will read the meter as close to the date of the last day of service that you request. We will send a final bill to your forwarding address.

NOTE: We require a 48 hour notice.

Account Information
Account Number*

(enter as 001-????-00)
Name(s) on account*
Service address of account*
Apt/Unit Number
Last date of service*
Month
Day
Year
Forwarding address for Final Bill
New Mailing Address*
Street Address Address Line 2 City State ZIP Code
Daytime Phone Number*
Email Address*
Name of new owner (if known)
If rental unit, name of landlord
Landlord Phone or Email Contact
Move out form filed by:*
- Old Owner
- Renter
- Landlord
Other Instructions
(EXAMPLE of other instructions: Closing Company Information such as phone number, fax number, who is requesting the final reading and email)
Phone
This field is for validation purposes and should be left unchanged.

The utility may need to contact you to verify any or all of the information.

Account Information

Forwarding address for Final Bill