Log Cabin, TX · Henderson County
Disconnection Request
Log Cabin water customers use this form to request service disconnection and provide a forwarding address for bills or refunds.
What this form is
This form lets a customer request that Log Cabin disconnect water service as of a specified date. It asks for the account number and name, service address, forwarding address, and phone number. The form states that turning service back on later carries a $100 charge and that a bill or refund may take up to 30 days.
Who needs it
A customer who wants Log Cabin to disconnect water service and send any bill or refund to a forwarding address should complete this form.
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 request is signed without a notary; the form provides a Customer Requesting signature line and does not ask the signer to notarize it.
How to submit this form
- 1
Download The Form
Download the Log Cabin Disconnection Request.
- 2
Complete The Request
Enter the account details, service address, requested disconnection date, forwarding address, and phone number.
- 3
Sign And Submit
Sign the Customer Requesting line and 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 Request used for?
- It lets a customer request disconnection of water service as of a specified date and provide a forwarding address for bills or refunds.
- What information does the form ask for?
- It asks for the account number and name, service address, requested disconnection date, forwarding address, phone number, and the customer's signature.
- Do I need a notary for the Disconnection Request?
- No. The form has a Customer Requesting signature line and does not ask for notarization.
- How do I submit the Disconnection Request?
- The document lists city contact details but does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.