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Appendix 10.15 Request for Permanent Disconnection & Termination of Agreement (Refer Reg. 8.8) To (Representative of Licensee) Service Connection No./Consumer ID Name of the consumer: Consumer category:

How to fill out request for permanent disconnection

How to fill out a request for permanent disconnection:

1. Start by addressing the request to the appropriate department or entity responsible for managing disconnections. This could be a utility company, telecommunications provider, or any other relevant organization.
2. Include your personal information, such as your full name, address, and contact details. This will help the company identify your account and process the request accurately.
3. Clearly state your intention for a permanent disconnection. Be specific about the service or account you wish to disconnect permanently, providing any relevant identification numbers or account details.
4. If applicable, mention the reason for your request. Whether you are moving to a new location, switching service providers, or simply no longer requiring the service, providing a brief explanation can help the company understand your situation better.
5. Specify the effective date you desire for the disconnection. This is the date from which you no longer want the service to be active. Ensure that you provide ample notice to avoid any additional charges or penalties.
6. If there are any outstanding bills or fees associated with your account, address them in the request. State your willingness to settle any dues or provide instructions on how they can be paid.
7. Sign and date the request for permanent disconnection. You may also consider making a copy of the document for your records.
8. Finally, submit the request through the appropriate channel specified by the company. This can typically be done via mail, email, or an online portal.

Who needs a request for permanent disconnection?

1. Individuals or households who are moving to a new residence and no longer require the services of a utility company, such as electricity or gas.
2. Customers who are switching service providers and wish to terminate their current account permanently.
3. Businesses or organizations that are closing down or relocating and need to disconnect their telecommunications, internet, or other utility services.
4. Property owners or landlords who need to disconnect utility services from a property that will be vacant or no longer requires those services.

Please note that the specific requirements and procedures may vary depending on the company or organization with which you are dealing. It is always advisable to consult their official guidelines or contact customer service for precise instructions on how to fill out a request for permanent disconnection.

For pdfFiller’s FAQs

What is request for permanent disconnection?

A request for permanent disconnection is a formal notification to terminate services or utilities indefinitely.

Who is required to file request for permanent disconnection?

The account holder or authorized representative is required to file a request for permanent disconnection.

How to fill out request for permanent disconnection?

To fill out a request for permanent disconnection, the account holder must provide their account information, contact details, reason for disconnection, and any additional documentation required by the service provider.

What is the purpose of request for permanent disconnection?

The purpose of a request for permanent disconnection is to formally end services or utilities and cease billing.

What information must be reported on request for permanent disconnection?

The request for permanent disconnection must include account information, contact details, reason for disconnection, and any additional documentation requested by the service provider.

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