Jonesville, NC · Yadkin County
Cancellation of Utility Services
Account holders use this form to request cancellation of utility services at a Jonesville service address and provide a disconnection date.
What this form is
This form lets an account holder request cancellation of utility services at a Jonesville service address. It asks for the account holder’s name and account number, service and mailing addresses, telephone number, requested disconnection date, and the customer’s signature and date. The form also includes fields for town staff to record meter and billing information.
Who needs it
An account holder seeking to disconnect utility services at a Jonesville service address can complete and sign 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 document is signed without a notary; the account holder just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Cancellation of Utility Services PDF.
- 2
Complete The Account Details
Fill in the account holder, account, address, telephone, and requested disconnection date fields.
- 3
Sign And Date
Sign and date the customer signature section. The form lists no attachments.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Cancellation of Utility Services form?
- An account holder can use it to request cancellation of utility services at a Jonesville service address.
- What information does the form request?
- It requests account holder and account details, service and mailing addresses, a telephone number, a disconnection date, and the customer’s signature and date.
- Do I need a notary for the Cancellation of Utility Services form?
- No. This form is signed without a notary; the account holder just signs and dates it.
- How do I submit the Cancellation of Utility Services form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Cancellation of Utility Services doesn’t need a notary — but if you have another Jonesville form that does, a commissioned online notary can help.