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Water Shutoff Protection Request Form MIDWAY HEIGHTS COUNTY WATER DISTRICT 16733 PLACER HILLS RD MEADOW VISTA, CA 95722 (530) 8788096 www.mhcwd.org admin@mhcwd.org Water Shutoff Protection Act Pursuant

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How to fill out water shutoff protection request

01

Obtain a water shutoff protection request form from your water utility company.

02

Fill out the form completely with accurate information including your name, address, account number, and reason for requesting water shutoff protection.

03

Sign and date the form before submitting it to the water utility company.

04

Keep a copy of the form for your records in case you need to reference it in the future.

Who needs water shutoff protection request?

01

Anyone who wants to prevent their water supply from being shut off due to a specific reason such as financial hardship, medical necessity, or other qualifying circumstances.

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What is water shutoff protection request?

Water shutoff protection request is a formal request submitted to the water company to prevent the discontinuation of water service to a property due to non-payment.

Who is required to file water shutoff protection request?

Property owners or tenants who are at risk of having their water service shut off due to non-payment are required to file a water shutoff protection request.

How to fill out water shutoff protection request?

To fill out a water shutoff protection request, one must contact the water company and provide necessary information such as property address, account number, and reason for requesting protection from shutoff.

What is the purpose of water shutoff protection request?

The purpose of water shutoff protection request is to ensure that individuals or properties facing financial difficulties are not left without access to essential water services.

What information must be reported on water shutoff protection request?

On a water shutoff protection request, one must report personal or property details, account information, reasons for the request, and any supporting documentation if required.

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