Form Center

No City Account is required; if you do make one, you can save progress and see previously submitted forms. If signed in, save frequently. Fields with asterisks are required; make sure they are filled in to avoid or fix errors.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Stop Service - Rental Property - Form

  1. City of Lafayette Logo
  2. Stop Services - Rental Property

    Please complete the online form to disconnect water utility services. Additional questions may be needed complete a disconnection request. Contact the City of Lafayette Utility Billing for any questions by calling 303-665-5588 or email

    Automatic Withdrawal Information

    The automatic bank draft withdrawal will be removed on all final bills and another form of payment will be required. This does not apply to automatic payments set up through your online portal using a debit or credit card.

  3. Today's date or a future disconnection date. We are unable to back date your disconnection services.
  4. 00-0000-00

  5. Co-Occupant
  6. Co-Occupant
  7. The City of Lafayette can only send a paper copy for disconnection services. Note that a final copy of the water bill will be sent to both tenant and landlord.

  8. This form is being completed by:
  9. Leave This Blank:

  10. This field is not part of the form submission.