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TOWN OF RANGE LY 209 East Main Street Range, Co 81648 (970) 6758476 Phone (970) 6758471 Fax REQUEST FOR DISCONTINUANCE OF WATER/GAS/SEWER SERVICE The undersigned does hereby grant permission to the
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How to fill out utility discontinuance form

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How to fill out utility discontinuance form

01
To fill out a utility discontinuance form, follow these steps:
02
Obtain the utility discontinuance form from your utility service provider.
03
Fill in your personal details, including your name, address, and contact information.
04
Provide the date when you plan to discontinue the utility service.
05
Specify the reason for discontinuing the service. This could be due to relocation, switch to a different provider, or any other relevant reason.
06
Indicate the utility service(s) you wish to discontinue, such as electricity, water, gas, etc.
07
Review the form to ensure all information is accurate and complete.
08
Sign the form to confirm your request for utility discontinuance.
09
Submit the form to your utility service provider via mail, email, or as per their specified instructions.
10
Keep a copy of the form for your records.
11
Follow up with your utility service provider to ensure the discontinuance request is processed.
12
Note: The specific steps may vary depending on the utility provider and their form requirements. It's recommended to consult the instructions provided with the form or contact the service provider for any clarification.

Who needs utility discontinuance form?

01
Utility discontinuance forms are required by individuals or businesses who wish to terminate their utility services. This may include:
02
- Residential customers who are moving out of a property and need to discontinue their electricity, water, gas, or other utility services.
03
- Commercial customers who are relocating their business or switching to a different utility provider.
04
- Any customer who wants to temporarily or permanently stop receiving specific utility services due to various reasons.
05
The specific requirements for filling out a utility discontinuance form may vary based on the policies of the utility service provider.
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The utility discontinuance form is a document required to officially notify utility providers about the termination of utility services at a specific address.
The property owner or authorized representative is required to file the utility discontinuance form when they plan to stop utility services.
To fill out the utility discontinuance form, you need to provide the property address, account details, the date services should be discontinued, and the reason for discontinuance.
The purpose of the utility discontinuance form is to formally communicate to utility companies that services will no longer be needed, ensuring the account is properly closed.
The information that must be reported includes the account number, address of the service, date of discontinuance, customer name, and any forwarding information if applicable.
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