Rincon, GA · Effingham County
Disconnection of Services
Rincon account holders use this form to request water service disconnection and provide account, contact, moving, and deposit refund information.
What this form is
This form lets an account holder request disconnection of water service and tell the City of Rincon when service should end. It asks for the account number, account name, service address, disconnection date, contact details, new mailing address, and deposit refund preference. The form says the account must be paid in full before disconnection, and a driver’s license or ID is needed.
Who needs it
An account holder moving or otherwise ending water service in Rincon should complete this form and provide the required identification.
How to submit it
Submit the form to the City of Rincon at 302 South Columbia Ave., Rincon, GA 31326; the form lists (912) 826-5745 as the phone number.
About notarization
This document is signed without a notary; the account holder just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the City of Rincon Disconnection of Services form.
- 2
Complete The Request
Enter the account, service, disconnection date, contact, and new mailing address details, and choose how to receive the deposit refund.
- 3
Gather Required Items
Have a driver’s license or ID and ensure the account is paid to $0.00, as stated on the form.
- 4
Submit To The City
Submit the form to the City of Rincon, 302 South Columbia Ave., Rincon, GA 31326.
Frequently asked questions
- What does Rincon’s Disconnection of Services form do?
- It lets an account holder request water service disconnection and provide the requested account, contact, moving, and deposit refund information.
- What do I need to complete the disconnection request?
- The form lists a driver’s license or ID and an account paid to $0.00 as requirements. It also asks for account and service details.
- How do I submit the Disconnection of Services form?
- The form lists the City of Rincon at 302 South Columbia Ave., Rincon, GA 31326, and gives (912) 826-5745 as its phone number.
- Do I need a notary for the Disconnection of Services form?
- No. This form is signed without a notary; the account holder just signs and dates it.
Need something notarized?
This Disconnection of Services doesn’t need a notary — but if you have another Rincon form that does, a commissioned online notary can help.