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Marion County Board of County Commissioners Utilities 1219 S. Pine Ave. Ocala, FL 34471 Phone: 3526718540 Fax: 3526718512DISCONNECTION AUTHORIZATION FORM Service disconnect date: Account number: Name
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How to fill out utilities disconnection authorization form

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How to fill out utilities disconnection authorization form

01
To fill out a utilities disconnection authorization form, follow these steps:
02
Gather all the necessary information: You will need your account number, personal identification information, and the date you want the disconnection to take effect.
03
Contact your utility provider: Reach out to your utility provider either through their customer service hotline or visit their office. Ask them for the utilities disconnection authorization form and request any additional instructions or documents needed.
04
Obtain the form: Once you have the form, carefully read the instructions and fill in the required information accurately. Pay attention to any specific sections or fields that require additional documentation or signatures.
05
Provide account details: Enter your account number, account holder's name, and billing address. Make sure these details match the information on your utility bill to avoid any issues.
06
Specify disconnection date: Indicate the date you want the utilities to be disconnected. Be aware of any fees or penalties associated with early termination or immediate disconnection.
07
Sign and date the form: Read through the entire form, double-check your entries, and sign the document. Ensure the form is dated properly.
08
Submit the form: Return the completed form to your utility provider. You may need to make a copy for your records.
09
Follow up: After submitting the form, contact your utility provider to confirm receipt and verify the disconnection schedule. Keep a record of any reference numbers or communication regarding the disconnection process.

Who needs utilities disconnection authorization form?

01
Anyone who wishes to terminate their utility services or temporarily suspend them may need a utilities disconnection authorization form.
02
Common scenarios where this form is required include:
03
- Moving to a new location and no longer requiring the current utilities
04
- Temporarily vacating a premises for an extended period (e.g., vacation, renovation)
05
- Switching utility providers
06
- Discontinuing specific services while keeping others active (e.g., canceling cable TV but keeping electricity)
07
It is important to check with your specific utility provider as their policies and procedures may vary.
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The utilities disconnection authorization form is a document that allows a utility company to disconnect services at a property.
The property owner or authorized representative is required to file the utilities disconnection authorization form.
To fill out the utilities disconnection authorization form, one must provide details about the property, account information, and reason for disconnection.
The purpose of the utilities disconnection authorization form is to formalize the request for service disconnection and ensure proper procedures are followed.
The utilities disconnection authorization form must include property details, account number, name of the account holder, contact information, and reason for disconnection.
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