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DISCONTINUATION OF SERVICE FORM (to be used if you cannot continue to service a child or if parent requests discontinued services **) To: From: Re: Date: Placement Coordinator: Service Discontinuation
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How to fill out discontinuation of service form

How to fill out discontinuation of service form:
01
Start by obtaining the appropriate form from the service provider. This form may be available online or at a physical location.
02
Fill out the required details in the form accurately. These details may include your name, contact information, account number, and the reason for discontinuing the service.
03
Make sure to read and understand any terms and conditions mentioned in the form before proceeding.
04
Attach any necessary supporting documents, such as proof of identity or previous communication with the service provider regarding the discontinuation.
05
Double-check all the information provided in the form to ensure its accuracy.
06
Sign and date the form, acknowledging that you are requesting the discontinuation of the service.
07
Submit the completed form to the service provider through the specified method, which could be mailing it, submitting it online, or visiting their office in person.
Who needs discontinuation of service form:
01
Customers who wish to terminate or cancel a particular service.
02
Individuals who are switching to a different service provider and need to terminate the existing service.
03
People who are moving to a new location where the current service is unavailable or is not required.
It is important to note that the specific requirements and process for discontinuation of service may vary depending on the service provider and the nature of the service being discontinued. Therefore, it is recommended to refer to the service provider's guidelines or contact their customer service for any specific instructions.
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What is discontinuation of service form?
Discontinuation of service form is a document used to notify the relevant authorities of the intention to terminate or discontinue a service.
Who is required to file discontinuation of service form?
Any individual or organization that wishes to terminate a service is required to file a discontinuation of service form.
How to fill out discontinuation of service form?
The form typically requires information such as the name of the service provider, the type of service being discontinued, the reason for discontinuation, and contact information.
What is the purpose of discontinuation of service form?
The purpose of the form is to officially inform the authorities and other relevant parties of the decision to terminate a service.
What information must be reported on discontinuation of service form?
The form must include details such as the date of discontinuation, any outstanding obligations or payments, and any relevant contact information.
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