What is your request (Please select one)
  Turn off water
Turn Off Water – Meter Reading (Required)
  123,456
Turn Off Water: Serial # (Required)
  12,345
Turn Off Water: Date for requested action (Required)
  04/28/2022
Lateral Selection
  32A
Turnouts for Lateral 32A
  24ODD
Contact information
Name
  test
Email
  test@gmail.com