The City of Washington, Indiana

Small City... Big Possibilities

Electric and/or Water Disconnection for Repairs

 Step 1 of 1

To request disconnection for repairs on a certain day, please fill out the form below.

* Denotes a required field

Contact Information

*
Phone Number 
-- ext
*

Repair Information

*
*
*
ZIP*
-
Second portion of ZIP Code is optional.
 
*
*
Date of Disconnection*
 Date of Disconnection
Date for Reconnection*
 Date for Reconnection
Please click submit when finished