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City of Polk City 123 Broadway Blvd. SE Polk City, Florida 338681139 Telephone 8639841375 Fax 8639842334 www.mypolkcity.orgUtility Disconnection Request Form Today's Date: ___ I, ___, am I requesting
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01
Obtain a utility disconnect request form1doc from your utility provider.
02
Fill out the form with your personal information, including name, address, account number, and contact information.
03
Specify the date you want the utilities to be disconnected and any other relevant details.
04
Sign and date the form before submitting it to your utility provider.
05
Keep a copy of the completed form for your records.

Who needs utility disconnect request form1doc?

01
Anyone who is moving out of a property and wants to disconnect their utilities.
02
Landlords who need to disconnect utilities between tenants.
03
Business owners who are closing their operations and need to disconnect utilities.
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Utility disconnect request form1doc is a document used to request the disconnection of utility services.
Anyone who wishes to disconnect utility services is required to file utility disconnect request form1doc.
Utility disconnect request form1doc can be filled out by providing the required information such as account details, service address, reason for disconnection, and contact information.
The purpose of utility disconnect request form1doc is to formally request the disconnection of utility services.
Information such as account details, service address, reason for disconnection, and contact information must be reported on utility disconnect request form1doc.
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