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2. 
   
4. If you are moving in the next 24 hours, DO NOT use this online form!
   
   Instead, contact the Customer Service Center, 724-776-4806, between 7:30 AM - 5:00 PM, Monday - Friday.
6. Read and complete the following request form for a final sewer, water, and/or trash bill when you are moving out.
8. Step 1 - Account Holder Information
10. Primary Last Name*
12. Primary First Name*
14. 
    
16. Secondary Last Name
18. Secondary First Name
20. 
    
22. Account Number*
24. Current Home Number*
26. Cell Number
28. Email address
30. 
    
32. Step 2 – Address you moving from?
34. Address
36. City*
38. State*
40. Zip Code*
42. Service cancellation date: Month Day Year
44. 
    
46. Step 3 – Forwarding Information
48. Address*
50. City*
52. State
54. Zip Code*
56. New Home Number*
58. Additional Comments
60. If the account holder agrees to the above conditions and, to the best of his or her knowledge, all information provided is true and accurate, please submit this form.
62. The account holder is responsible to notify Cranberry Township in advance, when service is no longer required. Until we receive notification, the account holder is liable for all charges accumulated on the account.
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64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field