Water Off/On Authorization Form (Snow Birds/Seasonal)

Customer Information

Address *

Emergency Contact



By submitting this form I understand that a $20 Seasonal On/Off fee will be added to my account.

I further understand it is my responsibility to turn water off inside the residence (at the meter) prior to my departure.  To reestablish service, I will notify the City at least 3 (three) days prior to my return in one of the following ways: 

• By phone –Utility Billing Dept. 330-875-2266 ext. 310
• By mail – 1022 W Main St Louisville OH 44641
• By email – utilitybilling@louisvilleohio.org

**An emergency or after-hours call will result in a $50 charge**

* - denotes required field