City of Oak Park
“The Family City”
14000 Oak Park Blvd
Oak Park, MI 48237
248.691.7470
www.ci.oak-park.mi.us
Water Department
Mayor
Marian McClellan
Mayor Pro Tem
Carolyn Burns
Council Members
Kiesha Speech
Solomon Radner
Ken Rich
City Manager
Erik Tungate
14000 Oak Park Blvd Oak Park, MI 48237 248.691.7470 www.ci.oak-park.mi.us
WINTER PROTECTION
Address to be Shut Off_____________________________________
While the residence is vacant, final billing should be mailed to the following address:
Name:_______________________________ Address:_______________________
City:_____________________________ State:______________ Zip:_________
_
(1)I understand that the City of Oak Park Water Department will shut off my water for a fee of $100.00 which
will be added to the Final Bill. While the water service is shut off, I will not be assessed charges for water,
sewer, meter charges, or garbage and rubbish fees. When the water service is reconnected, the before mentioned
charges will resume. It is also my responsibility to ensure that the water department is informed of when to
commence billing of my water account.
(2) It will be the responsibility of the resident to provide winter protection from freezing for the water meter and
plumbing in the dwelling. If the water meter freezes during the winter months, the resident will have to
pay for a meter replacement.
(3) The customer must be at the residence for shut off & reconnection. Shut-off / reconnection will take place
Monday thru Thursday between 8:00am - 3pm (except for holidays designated on the city calendar). If
service reconnection is requested outside of the above mentioned times, (a) a crew must be available to provide
shut-off or reconnection and (b) the customer must pay minimum overtime charges for 2 men for 2 hours, in
addition to the $100.00 fee mentioned in paragraph 1.
*If you are an organization doing work on behalf of another agency, please provide with this form official
documentation, usually an affidavit, granting you authority to request this service.*
I have read the above terms and conditions and hereby agree to them. I acknowledge that I am the owner or
legally given the authority to have utilities turned on/off to this property.
Signature:______________________________________ Date:___________________
Telephone:__________________________________ Witnessed by Water Dept. Staff ________________
-------------------------------------------------For Office Use Only--------------------------------------------------------
Current Balance:______________ Date of Shut Off:___________________ Final Read:___________
Charge done by:________ Date:_________ Final Bill Done by:____________ Date___________
*Please note: If you
have printed this
form from our
website, you will
still need to call our
office to arrange
your appointment
time.*
click to sign
signature
click to edit
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