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LEE COUNTY UTILITIES 7391 College Parkway Fort Myers Fl 33907 Phone 239/533-8845 Toll-FREE 800-485-0214 Fax 239/485-8845 Web Site - www. Lee-county. com/utilities UTILITIES LEEGOV. COM Terminating Service Request Form PLEASE COMPLETE THIS FORM IN ITS ENTIRETY LCU ACCOUNT NUMBER NAME ON ACCOUNT DRIVERS LICENSE NO SERVICE ADDRESS DATE SERVICE DISCONNECTED PHONE NUMBER FORWARDING ADDRESS I authorize service to be discontinued at the above service address AUTHORIZED SIGNATURE.
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01
Open the terminating service form 2010-11-12doc document.
02
Read and understand the instructions provided at the beginning of the form.
03
Start by entering the date and your personal details, such as name, address, phone number, and email.
04
Next, provide information about the service being terminated, such as the account number or service ID.
05
Specify the reason for termination and provide any additional details or comments, if required.
06
If there are any outstanding balances or charges, make sure to address how they will be settled.
07
Sign and date the form to confirm your request for service termination.
08
Review the form for any errors or missing information before submitting it.
09
Submit the completed terminating service form to the appropriate department or authority.
10
Keep a copy of the filled-out form for your records.
Who needs terminating service form 2010-11-12doc?
01
Anyone who wishes to terminate a service that is covered by the terminating service form 2010-11-12doc.
02
This form is typically needed by customers who want to officially request the discontinuation of a specific service.
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It may be required by both individuals and organizations, depending on the nature of the service being terminated.
04
Customers who want to ensure a proper record of their termination request may use this form.
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What is terminating service form 11-12doc?
Terminating service form 11-12doc is a document used to officially end a service agreement.
Who is required to file terminating service form 11-12doc?
Service providers or clients who wish to terminate a service agreement are required to file terminating service form 11-12doc.
How to fill out terminating service form 11-12doc?
To fill out terminating service form 11-12doc, you need to provide details about the service agreement being terminated, reasons for termination, effective date of termination, and any additional information requested on the form.
What is the purpose of terminating service form 11-12doc?
The purpose of terminating service form 11-12doc is to formally end a service agreement and document the terms of termination.
What information must be reported on terminating service form 11-12doc?
Information such as details of the service agreement, reasons for termination, effective date of termination, and any additional required information must be reported on terminating service form 11-12doc.
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