Get Disconnect Service - City Of Canton

This guide provides a comprehensive overview of the Disconnect Service form for residents of Canton, Georgia. Filling out this form accurately is essential for ensuring the proper discontinuation of your water, sewer, or sanitation services.

Follow the steps to complete the Disconnect Service form.

1. Press the ‘Get Form’ button to access the form and open it in your chosen document editor.
2. Begin by entering your account number in the designated field at the top of the form. This information links your request to your service account.
3. Next, specify the date you wish to disconnect your services. This helps the department schedule your service termination effectively.
4. Indicate whether you want to sign out completely or request a temporary disconnection by checking the appropriate box. If transferring services, enter the name and email address of the person receiving your service.
5. Fill in your name and provide your Social Security Number or Driver's License number. This identification is necessary for verification purposes.
6. Enter the service address where the utilities are currently provided. This ensures the correct location is referenced for the disconnection.
7. Provide a contact phone number where you can be reached regarding this request. Keep this information up-to-date for any follow-up communications.
8. If applicable, provide a new mailing address where future correspondence should be sent. Include city, state, and zip code to ensure accurate delivery.
9. State the reason for your disconnection request in the given space. This information helps the service department understand user needs better.
10. Sign and print your name in the designated area, along with the date of signing. If relevant, an authority figure's signature will also be needed for approval.
11. After completing the form, save your changes. You can either download a copy for your records, print it directly, or share it via email if submission is required online.

Complete your Disconnect Service form online today for a smooth service management experience.