Elgin, TX · Bastrop County

No notary required

Disconnection of Services

This form lets an Elgin utility customer request disconnection of services and provide account, contact, and forwarding-address information.

What this form is

Customers use this form to request disconnection of services from the City of Elgin. It asks for the requested disconnection date, account number, primary name, service address, forwarding address, and phone number, along with the customer’s signature and date. The form notes that deposit refunds may take four to six weeks and will be mailed to the forwarding address provided.

Who needs it

An Elgin utility customer who wants to request service disconnection and provide a forwarding address for any deposit refund.

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 mentions no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the City of Elgin Disconnection of Services form.

  2. 2

    Complete The Form

    Enter the requested disconnection date, account and customer information, service address, forwarding address, and phone number.

  3. 3

    Sign And Date

    Sign and date the form. It does not list any attachments.

  4. 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

What is the Disconnection of Services form for?
It lets a City of Elgin utility customer request service disconnection and provide account, service address, contact, and forwarding address information.
What information does the form ask for?
It asks for the requested disconnection date, account number, primary name, service and forwarding addresses, phone number, signature, and date.
Do I need a notary for the Disconnection of Services form?
No. The form is signed and dated without a notary, and it mentions no notarized or sworn attachment.
How do I submit the Disconnection of Services form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Disconnection of Services doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.