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10801 Town Square Drive NE, Blaine MN 55449 Building Inspections Department phone: 7637856170 fax: 7637856111 BlaineMN.govCommercial/ ResidentialUtility Disconnect Approval Forms FORM IS TO BE SIGNED
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How to fill out utility disconnect approval form

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How to fill out utility disconnect approval form

01
To fill out the utility disconnect approval form, follow these steps:
02
Obtain a copy of the form from the utility company or download it from their website.
03
Provide your personal information, such as your name, address, and contact information, in the designated fields.
04
Specify the utility service that you want to have disconnected, such as electricity, water, or gas.
05
Indicate the date on which you want the disconnection to take effect.
06
Provide any additional details or instructions, if required.
07
Review the completed form for accuracy and make any necessary corrections.
08
Sign and date the form.
09
Submit the form to the utility company via mail, email, or in-person.
10
Keep a copy of the completed form for your records.

Who needs utility disconnect approval form?

01
Anyone who wishes to disconnect a utility service, such as electricity, water, or gas, may need to fill out a utility disconnect approval form. This is typically required by the utility company to process the disconnection request. It can be needed by residential customers, business owners, or tenants who are responsible for the utility service account.
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The utility disconnect approval form is a document that seeks permission from relevant authorities to disconnect utility services such as electricity, water, or gas to a property.
Property owners, landlords, or authorized representatives are typically required to file the utility disconnect approval form.
To fill out the utility disconnect approval form, provide accurate property information, specify the utilities to be disconnected, include the reason for disconnection, and sign the form.
The purpose of the utility disconnect approval form is to formally request the cessation of utility services, ensuring compliance with regulations and informing utility providers of the intended disconnection.
The information required typically includes property address, account number, type of utility, owner or applicant's contact information, reason for disconnection, and the requested disconnection date.
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