What is the Service Disconnect & Refund Application for?

It records a request to disconnect utility service and collects account, deposit, applicant, service location, and forwarding address information.

Who can use this application?

The form lists owner, tenant, realtor, commercial, and other applicant types. It is for applicants requesting a utility service disconnect and refund.

Do I need a notary for the Service Disconnect & Refund Application?

No. This application is signed and dated without a notary, and it lists no sworn or notarized attachment.

How do I submit the Service Disconnect & Refund Application?

The form lists the Utility Department's address at 355 South Center Street, Westmorland, CA 92281, and provides its fax number and email address.

Westmorland, CA · Imperial County

No notary required

Application for Service Disconnect & Refund

Westmorland utility customers use this application to request a service disconnect and provide information for a deposit refund.

What this form is

This application records a request to disconnect utility service and provides account and deposit information for the City of Westmorland. It asks for the account name, requested disconnect date, deposit details, applicant type and identification, service location, phone number, forwarding address, and applicant signature. The form also includes fields for city office use.

Who needs it

An owner, tenant, realtor, commercial applicant, or other applicant seeking a utility service disconnect and deposit refund may use this form.

How to submit it

The form lists the Utility Department at 355 South Center Street, Westmorland, CA 92281. It also provides a phone number, fax number, and email address: [email protected].

About notarization

This application is signed and dated without a notary; it lists no sworn or notarized attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the City of Westmorland Application for Service Disconnect & Refund.
2
Complete The Application
Enter the account name, disconnect date, deposit details, applicant information, service location, phone number, and forwarding address.
3
Sign And Date
Sign and date the application. The form does not list a notary requirement.
4
Submit To The Utility Department
Use the Utility Department address, fax number, or email listed on the form.

Frequently asked questions

What is the Service Disconnect & Refund Application for?: It records a request to disconnect utility service and collects account, deposit, applicant, service location, and forwarding address information.
Who can use this application?: The form lists owner, tenant, realtor, commercial, and other applicant types. It is for applicants requesting a utility service disconnect and refund.
Do I need a notary for the Service Disconnect & Refund Application?: No. This application is signed and dated without a notary, and it lists no sworn or notarized attachment.
How do I submit the Service Disconnect & Refund Application?: The form lists the Utility Department's address at 355 South Center Street, Westmorland, CA 92281, and provides its fax number and email address.

Need something notarized?

This Application for Service Disconnect & Refund doesn’t need a notary — but if you have another Westmorland form that does, a commissioned online notary can help.