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08/04/2020 - COVID-19 UPDATE: In accordance with the State of California, JCSD Headquarters Lobby, & ALL Recreation & Sports facilities including the Eastvale Community Center, Harada Neighborhood Center, Exercise Equipment & Playgrounds are CLOSED.  Park patrons are required to practice social distancing in all activities at the parks & wear face masks.  For questions & for JCSD park field allocation permits, please call (951) 727-3524.

Request for Service to be Cancelled

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Moving OutRequest for Service to be Cancelled 

Are you moving out of your current home?  If so, please complete and submit the form below to cancel your service.  Please allow a minimum of two working days from the date we receive your request/submission (excluding Saturdays, Sundays and holidays) for services to be turned on or canceled.  Orders requested on the weekend or holidays will be scheduled for the next available business day.  If you have any questions, please call JCSD at (951) 685-7434.

 

 

Please correct the field(s) marked in red below:

1
Street Number
 *
2
Street Name
 *
3
City
 *
4
State
 *
5
ZIP
 *
6
Daytime Contact Number
 *
Forwarding Address (if different than service address)
7
C/O or Attention
8
Address
9
City
10
State
11
ZIP
Verify Name On Account To Cancel Service
12
First Name
 *
13
Last Name
 *
14
Birth Date
 *
15
Social Security Number (last 4 digits)
 *
16
Driver's License Number
 *
17
Driver's License State
 *
18

Date For Service To Be Cancelled

 Please DO NOT enter a Saturday, Sunday, or holiday date.

 *
Please review your application form carefully. Make any corrections necessary, then click on the 'Submit' button. Please wait for your confirmation to appear. Thank You.

Note: The confirmation message only indicates that your request has been received. It does not confirm that your service request can be completed.
  1. To receive a copy of your submission, please fill out your email address below and submit.
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