Stop Utility Service Form Rose Valley Water 13157 E 44TH Street Yuma, AZ 85367 (623) 889-2275 info@rosevalleywater.com Last Name on Account (required) First Name on Account (required) Email (required) Home Phone Cell Phone (required) Date Service to be Stopped (required) Account Number (required) Service Address (required) City (required) State (required) Zip Code (required) Forwarding Address (required) City (required) State (required) Zip Code (required) Did the Home Sell or Lease? SoldLeased I agree I agree that service will not be stopped until I have received a confirmation from Rose Valley Water Co with my stop service date. Please write your signature in the box below (required) Clear 5 + 6 = Δ