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.

Todays Date:*

Please turn off my service on:*

My name is:*

My Drivers License number is:*

My phone number is:*

My current address is:*

My account number is:*

Please forward my final bill to this address:*