Nahunta, GA · Brantley County
Request to Disconnect
Customers use this form to ask the City of Nahunta to stop water service at their current address and process a final bill or refund.
What this form is
This request tells the City of Nahunta to stop water service at a current address and supports closing the customer’s account. The customer provides the requested stop date, service and mailing addresses, contact numbers, and account details, then signs agreement to the listed service and final-bill terms. The form also includes fields for city staff to record account processing.
Who needs it
A customer who wants to stop service at a current address and have the City process the account’s final bill or refund needs this form.
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 document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the City of Nahunta Request to Disconnect PDF.
- 2
Complete the Request
Enter the date, name, service address, mailing address, and telephone numbers requested on the form.
- 3
Review the Terms
Read the listed service, payment, and final-bill terms before signing and dating the form.
- 4
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
- Do I need a notary for the Request to Disconnect?
- No. The form has a signature line but no notary block; the signer just signs and dates it.
- How do I submit the Request to Disconnect?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the request ask for?
- It asks for the date to stop service, the service and mailing addresses, contact numbers, and the customer’s signature agreeing to the listed terms.