Cochran, GA · Bleckley County
Termination of Services
City of Cochran customers complete this form to request termination of services at a listed service address, including the effective date and forwarding address.
What this form is
The City of Cochran requires this form to terminate services at the listed location. It asks for customer and account details, the service address, type of disconnect, services to be disconnected, requested effective date, forwarding address for the final bill, and the customer’s signature and date.
Who needs it
Customers requesting termination of City of Cochran services at a location should complete and sign this form.
How to submit it
The form lists City of Cochran, PO Box 8, Cochran, GA 31014, and provides an office phone number and fax number.
About notarization
This document is signed without a notary; the customer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the City of Cochran Termination of Services form.
- 2
Complete The Form
Enter the customer and account details, service address, disconnect type, services, effective date, and forwarding address.
- 3
Sign And Date
Sign and date the request.
- 4
Send The Form
The form lists City of Cochran, PO Box 8, Cochran, GA 31014.
Frequently asked questions
- Do I need a notary for the Termination of Services form?
- No. This document is signed without a notary; the customer just signs and dates the form.
- How do I submit the Termination of Services form?
- The form lists City of Cochran, PO Box 8, Cochran, GA 31014, along with an office phone number and fax number.
- What information does the form request?
- It asks for customer and account details, the service address, disconnect type, services to disconnect, effective date, forwarding address for the final bill, and a signature and date.
Need something notarized?
This Termination of Services doesn’t need a notary — but if you have another Cochran form that does, a commissioned online notary can help.