2. Please note, only the account holder can request to close the account. By closing your utility account you are requesting a final reading and bill. Your remaining deposit will be refunded and your account completely closed. The security deposit will be mailed approximately 4 weeks from the date the service is turned off.
4. Todays Date:*
6. Please turn off my service on:*
8. My name is:*
10. My Drivers License number is:*
12. My phone number is:*
14. My current address is:*
16. My account number is:*
18. Please forward my final bill to this address:*
Leave This Blank:


19. Submit

* indicates a required field