STOP SERVICE APPLICATION


Ames Municipal Utilities Online Customer Service

Applicant Information
First Name    
Middle Initial  
Last Name    
Date of Birth (click on date from calendar)      
Social Security Number (xxx-xx-xxxx)      
Driver's License Number  
Driver's License State  
Employer  
Work Telephone  
Are you Married?    
 
 
 
Your Ames Municipal Utilities Account Number:
(your account number is printed on your bill)
   
Date you want service to stop: (click on date from calendar)        
Dates available are Monday through Friday, excluding Holidays. A requested date may be changed up to two (2) work days to coincide with an existing request or if the date is not a normal work day.
 
 
Service Address Information
Street Address    
Apt. Lot or Unit Number  
City    
State  
Zip Code    
 
Forwarding Address Information
Street Address    
Apt. Lot or Unit Number  
City    
State  
Zip Code    
 
 
Other Information
Current Phone Number    
Will this be your telephone number at your new address?   
E-mail Address      
 
 
 
 
 
Additional Comments
* 500 character maximum