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REQUEST FOR TERMINATION OF SERVICE Polk County Utilities Physical Address: 1011 JIM KEEN BLVD, WINTER HAVEN, FL 33880 Mailing Address: PO BOX 2019, BARTON, FL 33831 Customer Service: (863) 2984100
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How to fill out termination-of-services-request-form

01
Obtain the termination-of-services-request-form from the company or organization providing the service.
02
Fill out your personal information such as full name, contact information, and account number if applicable.
03
Provide details about the services you are terminating, including the reason for termination and the effective date.
04
Sign and date the form to confirm your request for termination.
05
Submit the completed form to the appropriate department or individual as specified by the company.

Who needs termination-of-services-request-form?

01
Anyone who wishes to terminate services provided by a company or organization will need to fill out a termination-of-services-request-form.
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The termination-of-services-request-form is a document used to formally request the discontinuation of services or an agreement between two parties.
Typically, any party involved in a service agreement or contract who wishes to cease the provision or receipt of those services is required to file this form.
To fill out the form, provide your personal information, details of the services being terminated, the effective date of termination, and any relevant signatures.
The purpose of this form is to provide a formal and documented request for the termination of services, ensuring that both parties acknowledge and agree to the cessation.
The form should include the name of the parties, a description of the services to be terminated, effective date, reason for termination, and any relevant signatures.
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