Submit a Service Termination Request

Service Termination Requests require 24 hours advance notification Monday-Friday (excluding holidays).

If your utility deposit has not yet been applied to your account it will be applied to your final bill. Any overage amount is refunded with a check mailed to the forwarding address provided on this form, else the service address.

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Service Termination Request Form

First Name: *

Last Name: *

Termination Date: *

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No weekends or holidays.

Are you on e-billing? *

Yes

Are you on bank draft? *

Yes

Service Street Address: *

Service City and Zip Code *

Forwarding Street Address: *

Your final bill and/or refund will be sent to the address provided here.

Forwarding City and Zip Code *

Telephone Number: *

Email Address: *

Confirm Email Address: *

Please select one:

Rented the property

Owned the property

ID/Driver's License Number: *

State of Issue:

Driver's License Photo *

Please upload a photo of your driver's license or I.D
Files must be less than 9 MB.
Allowed file types: jpg jpeg png pdf.

Signature: *

Type your name as it appears on your ID/driver's license.