Sugar Hill, GA · Gwinnett County

No notary required

Automatic Payment Service Change or Cancellation Form

Sugar Hill natural gas utility customers use this form to change bank-account information for Automatic Payment Service or cancel their APS enrollment.

What this form is

This form lets a Sugar Hill natural gas utility customer change bank-account details for Automatic Payment Service or cancel APS enrollment. For a change, it requests service and account details, contact information, account type, and a voided check, plus authorization and signature. For cancellation, it requests service and account details, an effective date, and signature; the form says to allow one full billing cycle for processing.

Who needs it

Sugar Hill natural gas utility customers changing their APS bank account information or ending their Automatic Payment Service enrollment need 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 form is signed without a notary; the signer simply signs and dates the change or cancellation request.

How to submit this form

  1. 1

    Download The Form

    Download the APS Change or Cancellation Form.

  2. 2

    Complete The Request

    Fill in the service and account details and contact information, then complete the applicable change or cancellation section.

  3. 3

    Gather The Attachment

    For a bank-account change, attach a voided check and indicate whether the account is checking or savings.

  4. 4

    Sign And Submit

    Sign and date the request, then submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the APS Change or Cancellation Form do?
It lets natural gas utility customers provide new bank-account information for Automatic Payment Service or request cancellation of their APS enrollment.
What information and attachments does the form request?
It asks for service and utility account details, a contact phone number, and a signature. For bank-account changes, attach a voided check and provide the account type.
Do I need a notary for the APS Change or Cancellation Form?
No. This form is signed without a notary; the signer simply signs and dates the change or cancellation request.
How do I submit the APS Change or Cancellation Form?
The form does not provide submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Need something notarized?

This Automatic Payment Service Change or Cancellation Form doesn’t need a notary — but if you have another Sugar Hill form that does, a commissioned online notary can help.