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Utility Disconnect Form
Demo Permit application should be filed for Demo Permit
Chris Fuchs CBO, Building Official
Andy Dean, Building and Zoning1725 Territorial Road
Benton Harbor, MI 49022
Tel:
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How to fill out utility disconnect form

How to fill out utility disconnect form
01
Obtain a copy of the utility disconnect form from your utility provider. You can usually find this form on their website or request it in person or over the phone.
02
Fill in your personal information, including your name, address, and contact details. Make sure to provide accurate information to ensure that the disconnection request is processed correctly.
03
Indicate the type of utility service you wish to disconnect. This may include electricity, water, gas, or any other utility provided by your utility company.
04
Specify the date on which you want the disconnection to take effect. It is important to plan ahead and choose a date that works best for you.
05
Provide any additional details or instructions in the designated section of the form. This could include reasons for the disconnection or any special arrangements you need to make.
06
Review the completed form to ensure all the information is accurate and complete. Any errors or missing information may cause delays in processing your disconnection request.
07
Sign and date the form to confirm your request. Unsigned forms may be considered incomplete and may not be processed.
08
Submit the completed form to your utility provider by the specified method. This could be through mail, in person at their office, or online if they provide an electronic submission option. Make sure to follow the instructions provided by your utility provider.
Who needs utility disconnect form?
01
Anyone who wants to disconnect their utility services temporarily or permanently needs a utility disconnect form. This could include individuals or businesses that are moving out of a property, switching utility providers, or undergoing renovations where services need to be temporarily suspended.
02
The specific requirements for when a utility disconnect form is needed may vary depending on your utility provider and local regulations. It's best to check with your utility provider directly to determine if you need to fill out a disconnect form and what specific steps you need to take.
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What is utility disconnect form?
The utility disconnect form is a document used to request the disconnection of utility services from a property.
Who is required to file utility disconnect form?
The property owner or tenant requesting the disconnection of utility services is required to file the utility disconnect form.
How to fill out utility disconnect form?
Utility disconnect form can be filled out by providing requested information such as account number, service address, reason for disconnection, and contact information.
What is the purpose of utility disconnect form?
The purpose of utility disconnect form is to officially request the disconnection of utility services from a property.
What information must be reported on utility disconnect form?
Information such as account number, service address, reason for disconnection, and contact information must be reported on utility disconnect form.
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