(Summer) Disconnect Re-Connect Service Request Form ******PLEASE COMPLETE THIS FORM IN ITS ENTIRETY****** LCU ACCOUNT NUMBER NAME ON ACCOUNT DRIVERS LICENSE NO: SERVICE ADDRESS: DISCONNECT DATE: RECONNECT DATE: TEMPORARY PHONE NUMBER: TE.
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How to fill out the FL Service Request Form - Lee County online
Filling out the FL Service Request Form for temporary service disconnect and reconnect in Lee County is a straightforward process. This guide will provide you with step-by-step instructions to ensure you complete the form accurately and efficiently.
Follow the steps to successfully complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter your LCU account number in the designated field.
- Provide the name on the account.
- Input your driver's license number, ensuring it is accurate.
- Fill in the service address where the service will be disconnected or reconnected.
- Specify the disconnect date clearly.
- Indicate the reconnect date, if known; leave it blank if you are uncertain.
- Provide a temporary phone number where you can be reached.
- Input a temporary mailing address if it differs from the service address.
- Sign the authorization signature field to approve the temporary service change.
- Print your name below the signature to verify your identity.
- Review all entries for accuracy before submitting.
- Save any changes you made, and choose to download, print, or share the completed form as needed.
Complete your FL Service Request Form online today to manage your utility service effectively.
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