Stop Service at My Home/Apartment/Business

We need information about stopping service here.

Stop Service For My Home/Apartment/Business

  1. Name on the Account (only account holder may request to stop service)
  2. Forwarding Address
  3. Acknowledgement

    Submittal of this application indicates agreement to allow the City of Ankeny to stop service at the above address on the date entered on this form. 

    Note: Phone number is required so we may contact you if we have questions. 

  4. Type first and last name to sign digitally.

  5. Leave This Blank:

  6. This field is not part of the form submission.