Rosenberg, TX · Fort Bend County
Spanish Disconnect Authorization
This Spanish-language form lets Rosenberg water, sewer, and trash customers authorize service disconnection and provide a forwarding address for their final bill.
What this form is
Customers use this form to authorize the City of Rosenberg to disconnect water, sewer, and trash service at a specified address on a specified date. It asks for the date, service address, final-bill mailing address, account number, customer phone, email, customer signature, and representative. The form also has fields for office use.
Who needs it
Rosenberg customers who want to authorize disconnection of their water, sewer, and trash services can complete this form.
How to submit it
Submit it to the City of Rosenberg Customer Service Department at 2110 Fourth Street, Rosenberg, Texas 77471, or email [email protected]. The form also lists a fax number.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Spanish Disconnect Authorization PDF.
- 2
Complete The Form
Enter the service address, disconnection date, final-bill mailing address, account and contact details, and sign and date the form.
- 3
Submit To Customer Service
Submit the completed form to the City of Rosenberg Customer Service Department at the address or email listed on the form.
Frequently asked questions
- What does the Spanish Disconnect Authorization do?
- It authorizes Rosenberg to disconnect water, sewer, and trash service at a specified address and date, and provides a forwarding address for the final bill.
- What information does the form ask for?
- It asks for the service address, disconnection date, final-bill mailing address, account number, customer phone and email, customer signature, and representative.
- Do I need a notary for the Spanish Disconnect Authorization?
- No. This document is signed without a notary; the signer just signs and dates it.
- How do I submit the Spanish Disconnect Authorization?
- Submit it to the City of Rosenberg Customer Service Department at 2110 Fourth Street, Rosenberg, Texas 77471, or email [email protected]. The form also lists a fax number.
Need something notarized?
This Spanish Disconnect Authorization doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.