Who should use the Cancelling Utility Services Form?

Tipp City utility billing account holders closing an account should complete this form to request cancellation of their utility services.

How do I submit the Cancelling Utility Services Form?

Email the completed form to ub@tippcity.net or place it in the Government Center night drop. Submit it one day in advance of closing the account.

What information does the form ask for?

It asks for the account number, customer name and contact details, service termination date, the Tipp City service address being left, forwarding address, and signature.

Do I need a notary for this form?

No. This form is signed and dated without a notary, and it lists no notarized attachment or sworn step.

Tipp City, OH · Miami County

No notary required

Cancelling Utility Services Form

Tipp City utility billing account holders use this form to request cancellation of one or more utility services when closing an account.

What this form is

This form lets account holders request a stop to Tipp City utility billing services when closing an account. The city says to complete the entire form one day before closing the account; it asks for the account number, customer and service details, termination date, forwarding address, and signature.

Who needs it

Tipp City utility billing account holders who are closing an account and need to cancel the associated utility services should complete this form.

How to submit it

Email the completed form to [email protected] or place it in the Government Center night drop, one day in advance of closing the utility billing account.

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
Download The Form
Download the Cancelling Utility Services Form for your Tipp City utility billing account.
2
Complete The Form
Fill in all fields, including the account number, termination date, service address, forwarding address, and contact information.
3
Sign And Date
Sign the form and provide the requested dates; the document does not call for a notary.
4
Submit To The City
Email it to [email protected] or place it in the Government Center night drop one day before closing the account.

Frequently asked questions

Who should use the Cancelling Utility Services Form?: Tipp City utility billing account holders closing an account should complete this form to request cancellation of their utility services.
How do I submit the Cancelling Utility Services Form?: Email the completed form to [email protected] or place it in the Government Center night drop. Submit it one day in advance of closing the account.
What information does the form ask for?: It asks for the account number, customer name and contact details, service termination date, the Tipp City service address being left, forwarding address, and signature.
Do I need a notary for this form?: No. This form is signed and dated without a notary, and it lists no notarized attachment or sworn step.

Need something notarized?

This Cancelling Utility Services Form doesn’t need a notary — but if you have another Tipp City form that does, a commissioned online notary can help.