What is your request
  Turn off water
Turn Off Water – Meter Reading Required
  123.45.67.89
Turn Off Water: Serial # Required
  12,345
Turn Off Water: Date for requested action Required
  04/27/2023
Lateral Selection
  0MC
Turnouts for Lateral 0MC
  HGMC
Contact information
Name
  TEST
Email
  jmatta@gmail.com