Wrens, GA · Jefferson County

No notary required

Cut Off Utilities

Wrens residents use this form to request that gas or water service be cut off at an address and provide contact and forwarding details.

What this form is

This form lets a customer request that gas service, water service, or both be cut off. The requester fills in their name, service address, requested cut-off date, forwarding address, and daytime phone number. The form also includes spaces for a signature, date, and printed name. Use it when asking the city to discontinue the listed utility service.

Who needs it

A customer requesting that gas or water service be cut off at an address in Wrens should complete 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 and dated without a notary; it lists no notarized attachment or sworn step, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Cut Off Utilities form for Wrens.

  2. 2

    Complete The Form

    Enter the service type, name, address, requested cut-off date, forwarding address, and daytime phone number.

  3. 3

    Sign And Date

    Sign and date the form, and print your name in the space provided.

  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 does the Cut Off Utilities form request?
It requests that gas service, water service, or both be cut off. The form asks for the service address, requested cut-off date, forwarding address, daytime phone number, signature, and date.
Who should complete the Wrens Cut Off Utilities form?
A customer asking to discontinue gas or water service at an address in Wrens should complete the form and provide the requested service and contact information.
Do I need a notary for the Cut Off Utilities form?
No. The form is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the Cut Off Utilities form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Cut Off Utilities doesn’t need a notary — but if you have another Wrens form that does, a commissioned online notary can help.