Warrenton, NC · Warren County
Disconnect Authorization
Warrenton customers use this form to authorize disconnecting services at an address and choose whether to finalize or inactivate the account.
What this form is
The Disconnect Authorization lets an account holder authorize the Town of Warrenton to disconnect services immediately or on a specified date. The signer provides contact and forwarding information, the service address, a choice to set the account to final or inactive, the last five digits of their Social Security number for verification, and a signature and date. The form also describes how each account option is handled.
Who needs it
A Town of Warrenton account holder who wants services disconnected and wants the account set to final or inactive needs 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 or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Warrenton Disconnect Authorization PDF.
- 2
Complete The Form
Enter your contact and forwarding information, service address, disconnection timing, and account choice.
- 3
Sign And Date
Provide the last five digits of your Social Security number for verification, then sign and date the form.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Disconnect Authorization?
- No. The form is signed and dated without a notary, and it lists no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Disconnect Authorization?
- Submit it to the city department named on the form; check the city website for current contact details.
- What account options does the form offer?
- You can ask to set the account to final or inactive. The form explains how a final bill and deposit are handled and lists conditions for inactive status.
- What information does the form request?
- It asks for contact details, a forwarding address, the service address, the requested disconnection timing, the last five digits of the Social Security number for verification, and a signature and date.