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Vacation Plan Request
Hardin County Water District No 2
> Vacation Plan Request
Vacation Plan Request Form
Vacation Plan Request Form
Step
1
of
4
25%
Please complete the following form to request a change on your Hardin County Water District No. 2 account:
REQUEST Vacation Plan
REMOVE Vacation Plan
Please complete the following form to request a change on your Hardin County Water District No. 2 account:
Account Number
*
Customer Name
*
First
Last
Phone Number
*
Email
*
Requested Effective Date
*
MM slash DD slash YYYY
Service Address
*
Street Address
Address Line 2
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Photo ID Upload
*
Max. file size: 50 MB.
Please upload a state or federal photo ID.
Is the mailing address different than the service address?
*
Different
Same
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Accounts that are placed on Vacation Plan will not be charged the minimum monthly bill. When accounts are placed on Vacation Plan the meter is turned off and locked. Accounts may stay on Vacation Plan up to 6 months. Accounts that wish to have their services turned back on will need to be scheduled two days in advance. A $20 service fee is added when the service is turned back on.
UNLESS ARRANGEMENTS ARE MADE IN ADVANCE, ACCOUNTS THAT ARE ON VACATION PLAN FOR OVER THE 6 MONTH ALLOWABLE PERIOD WILL BE AUTOMATICALLY CLOSED.
Customer Consent
Government Issued Photo ID
*
Max. file size: 50 MB.
Signature of account holder
*
I certify that I am the account owner for the property listed above, and I hereby request the change on this account as indicated above and accept the terms of this vacation plan request.
Date
Month
Day
Year