Bevil Oaks, TX · Jefferson County
Close Account Form
This form records a request to close an account and is completed by the account holder whose service address is to be cut off.
What this form is
Use this form to provide details for closing an account, including the account number, name, address to be cut off, contact information, and final bill or refund address. It also asks for a reason for moving and the date of final service. The form includes spaces for the customer and office personnel to sign and date, plus office-use fields for the final reading and refund.
Who needs it
An account holder moving or otherwise requesting that service at the listed address be cut off can 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 form is signed without a notary; the customer signs and dates it unless the customer called in, and office personnel also sign and date it.
How to submit this form
- 1
Download The Form
Download the Close Account Form PDF.
- 2
Complete The Form
Fill in the account, contact, cut-off address, final bill or refund address, moving reason, and final service date.
- 3
Sign And Date
Sign and date the form; office personnel also have a signature and date field.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Close Account Form ask for?
- It asks for account and contact details, the address to be cut off, a final bill or refund address, reason for moving, and date of final service.
- Do I need a notary for the Close Account Form?
- No. The form is signed without a notary; the customer signs and dates it unless they called in, and office personnel also sign and date it.
- How do I submit the Close Account Form?
- Submit it to the city department named on the form; check the city website for current contact details.