Orange Cove, CA · Fresno County
Application for Cancellation of Service
Residents use this application to request cancellation of water, sewer, or garbage service at a listed service address.
What this form is
This application records a resident’s request to cancel water, sewer, and/or garbage service, along with the requested cancellation date and reason. It asks for the applicant’s name, account number, service and forwarding addresses, phone number, and signature. The form also includes fields for office use, including deposit information and work order details.
Who needs it
A resident requesting cancellation of water, sewer, or garbage service should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; it requests no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Cancellation of Service.
- 2
Complete The Form
Enter the requested dates, account number, services, cancellation reason, applicant name, addresses, and phone number, then sign.
- 3
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What services can I request to cancel?
- The application lists water, sewer, and garbage service. It also asks for the account number, service address, requested cancellation date, and reason.
- How do I submit the application?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- Do I need a notary for the Application for Cancellation of Service?
- No. The application is signed without a notary and does not request a notarized or sworn attachment; the applicant just signs and dates it.