Nashville, GA · Berrien County
Request for Termination of Utility Services
This form lets a Nashville utility customer request termination of water and sewer, gas, or sanitation service and provide account and mailing details.
What this form is
Use this form to request termination of selected utility services in Nashville. It asks for the applicant’s name, Social Security Number, service and property details, and an address for mailing any remaining deposit credit. The form explains how the deposit is applied to the final bill and notes that the applicant is responsible for any balance still due.
Who needs it
A customer who wants to terminate water and sewer, gas, or sanitation service should complete and sign this request.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form provides no submission address or contact information.
About notarization
This document is signed without a notary; the applicant simply signs and dates it.
How to submit this form
- 1
Download The Form
Download the utility services termination request PDF.
- 2
Complete The Request
Choose the service to terminate and enter your name, Social Security Number, property address, and billing address.
- 3
Sign And Date
Sign and date the applicant line. The form does not list any attachments.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What services can I request to terminate?
- The form offers termination of water and sewer, gas, or sanitation service only. Select the service option that applies to your request.
- What information does the utility termination form ask for?
- It asks for your name, Social Security Number, service selection, property address, and a billing address for any remaining deposit credit. You must also sign and date the request.
- Do I need a notary for the utility termination request?
- No. This document is signed without a notary; the applicant simply signs and dates it.
- How do I submit the utility termination request?
- The form does not provide a submission address or contact information. Submit it to the city department named on the form, and check the city website for current contact details.
Need something notarized?
This Request for Termination of Utility Services doesn’t need a notary — but if you have another Nashville form that does, a commissioned online notary can help.