Keene, TX · Johnson County

No notary required

Request for Temporary Service Hold on Account

Keene utility customers use this request to ask the city to temporarily turn off service at an account address.

What this form is

This form lets a customer request temporary utility service disconnection and provide a planned disconnection and reconnection date. It asks for the customer’s name, service and mailing addresses, phone number, email, utility account number, and signature. The form explains that paying all water charges before temporary disconnection affects whether the customer can resume service without establishing a new account.

Who needs it

A Keene utility customer seeking a temporary service hold should complete this request with account and contact information and the requested disconnection and reconnection dates.

How to submit it

The form lists the City of Keene address and phone number; submit it to the city department named on the form, and check the city website for current contact details.

About notarization

This request is signed and dated without a notary; the form does not identify any attachment or related step requiring notarization or an oath.

How to submit this form

  1. 1

    Download The Request

    Download the Temporary Service Hold Request PDF from the Keene city forms directory.

  2. 2

    Complete The Form

    Enter customer and account details, contact information, and the requested disconnection and reconnection dates.

  3. 3

    Review The Request

    Check the information for accuracy. The form does not list any required attachments.

  4. 4

    Sign And Submit

    Sign and date the request, then submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Temporary Service Hold Request?
It is a Keene utility request for customers seeking to temporarily turn off service. It collects customer and account details, service and mailing addresses, contact information, and requested disconnection and reconnection dates.
Do I need a notary for the Temporary Service Hold Request?
No. The form provides a customer signature and date line but no notary block. It does not identify an attachment or related step requiring notarization or an oath.
How do I submit the Temporary Service Hold Request?
The form lists the City of Keene address and phone number. Submit it to the city department named on the form, and check the city website for current contact details.

Need something notarized?

This Request for Temporary Service Hold on Account doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.