Dilley, TX · Frio County
Utilities Disconnect Services Request Form
Dilley utility customers use this form to request disconnection of water, sewer, or gas service and provide account and forwarding details.
What this form is
This form lets a customer request disconnection of utilities at a specified location on a chosen effective date. It asks for the account and service order numbers, service location, customer name and signature, and whether deposits should be returned, applied to the bill, or held. The customer also provides a forwarding address and telephone number; the form notes that water, sewer, or gas usage may be adjusted.
Who needs it
A Dilley utility customer who wants service disconnected should complete the request and provide forwarding contact information.
How to submit it
The form lists City of Dilley, P.O. Drawer 230, 101 South Commerce, Dilley, Texas 78017, and fax 830-965-1920. It also lists phone 830-965-1624.
About notarization
This request has no notary block; the customer signs it, and the document includes no sworn or notarized attachment.
How to submit this form
- 1
Download The Form
Download the Utilities Disconnect Services Request Form.
- 2
Complete The Request
Provide the account and service details, requested disconnection date, customer name, forwarding address and telephone number, and deposit preference.
- 3
Sign The Form
Sign the request as the customer.
- 4
Send It To The City
Use the City of Dilley mailing address or fax number printed on the form.
Frequently asked questions
- Do I need a notary for the Utilities Disconnect Services Request Form?
- No. The form has no notary block or sworn attachment; the customer signs the request.
- How do I submit the Utilities Disconnect Services Request Form?
- The form lists City of Dilley, P.O. Drawer 230, 101 South Commerce, Dilley, Texas 78017, and fax 830-965-1920.
- What information does the utility disconnect form ask for?
- It asks for account and service order numbers, the service location and requested disconnection date, customer name and signature, deposit preference, and forwarding contact details.