Sugar Hill, GA · Gwinnett County

No notary required

Gas Service Disconnect Request

Sugar Hill gas customers use this request to provide account and contact details and ask the city to disconnect gas service.

What this form is

This form is a request to disconnect gas service in Sugar Hill. It asks for the customer’s name, service address, phone number, account number if available, level billing selection, disconnect date, and required forwarding address. The signer also agrees to pay the total final utility bill, including any delinquency fees, and provides a signature and date.

Who needs it

A customer requesting gas service disconnection can use this form to provide the requested account details and agree to pay the final utility bill.

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 request is signed and dated without a notary; the form does not identify any notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Gas Service Disconnect Request PDF.

  2. 2

    Complete The Request

    Enter the requested customer, account, billing, disconnect date, and forwarding address details.

  3. 3

    Sign And Date

    Sign and date the agreement to pay the total final utility bill, including any delinquency fees.

  4. 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

What information does the Gas Service Disconnect Request ask for?
It asks for your name, service address, phone number, account number if available, level billing selection, disconnect date, and required forwarding address.
Do I need a notary for the Gas Service Disconnect Request?
No. The form has signature and date fields but no notary block, and it does not identify a notarized or sworn attachment.
How do I submit the Gas Service Disconnect Request?
The form lists city contact details, but does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Gas Service Disconnect Request doesn’t need a notary — but if you have another Sugar Hill form that does, a commissioned online notary can help.