Needville, TX · Fort Bend County

No notary required

Request for Utility Service Disconnect

Needville utility customers use this form to request disconnection of service and provide information for a refund or final bill.

What this form is

Use this form to request that the City of Needville disconnect utility service on a date you specify. It asks for your phone number, name, service address, requested disconnection date, and a new mailing address for a refund or final billing. The form requires a signature and a copy of your driver’s license when submitted.

Who needs it

A utility customer requesting service disconnection should complete this form and provide a copy of their driver’s license.

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 without a notary; the signer just signs and dates it on the form.

How to submit this form

  1. 1

    Download The Form

    Download the Request for Utility Service Disconnect form.

  2. 2

    Complete The Form

    Enter your contact information, service address, requested disconnection date, and new mailing address.

  3. 3

    Gather The Required Copy

    Include a copy of your driver’s license when submitting the disconnect form.

  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 information does the utility disconnect form request?
It asks for your phone number, name, service address, requested disconnection date, and a new mailing address for a refund or final billing.
What must I include when submitting the form?
The form states that you must provide a copy of your driver’s license when submitting the disconnect form.
Do I need a notary for the utility disconnect form?
No. This form is signed without a notary; the signer just signs and dates it on the form.
How do I submit the utility disconnect form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Request for Utility Service Disconnect doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.