Disconnect or Transfer Service Form

Use this form if: You are disconnecting service completely, You are disconnecting service as well as transferring your account from one service location to another.

Note: If someone else is taking over the service, you need only fill out the upper portion, making sure to check the “Disconnect Service” box, and the “Final Billing Address” portion of this form. The person who will take over the service must contact our office to apply for that service.