Notification of intent to discontinue utility services, requiring submission of a formal notice to the provider.
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A notice submitted by a property owner or manager to inform the utility provider of their intention to disconnect a utility service.
Implementing a Utility Disconnection Notice Submission Form can benefit your organization in several ways:
Customer Information Utility Account Number Reason for Disconnection (select one) Non-Payment Other (please specify) Business Name and Address (if applicable) Landlord/Tenant Information (if applicable) Signature of Authorized Person Date