Leesburg, GA · Lee County
Temporary Service Form
Leesburg property owners use this form to request temporary city service for an unoccupied property with minimal usage for cleaning purposes.
What this form is
The Temporary Service Form requests temporary city service for an unoccupied property, with minimal usage for cleaning purposes only. It asks for connection or disconnection details, service dates, owner and contact information, account number, service and billing addresses, phone number, and email. The form also explains that owners without an account need a new account form and a copy of their driver's license.
Who needs it
A Leesburg landlord or property owner seeking temporary service for cleaning an unoccupied property 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 has no notary block; it contains no notarized or sworn attachment, and the document does not specify a signature or dating step.
How to submit this form
- 1
Download The Form
Download the Leesburg Temporary Service Form PDF.
- 2
Complete The Form
Choose connection or disconnection and fill in the applicable dates and requested owner, account, contact, service, and billing information.
- 3
Gather Any Needed Documents
If you do not have an account, the form says to complete a new account form and provide a copy of your driver's license.
- 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 is the Leesburg Temporary Service Form for?
- It requests temporary city service for an unoccupied property with minimal usage for cleaning purposes only. The form includes options for connection and disconnection.
- Who should complete this form?
- A landlord or property owner seeking temporary service for cleaning an unoccupied property should provide the owner, account, contact, service, and billing details requested.
- Do I need a notary for the Temporary Service Form?
- No. The form has no notary block and mentions no notarized or sworn attachment; it also does not specify a signature or dating step.
- How do I submit the Temporary Service Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Temporary Service Form doesn’t need a notary — but if you have another Leesburg form that does, a commissioned online notary can help.