McGregor, TX · McLennan County
Utility Disconnect Form
This form lets an account holder request utility disconnection by providing account details, a requested disconnect date, and a forwarding address.
What this form is
The Utility Disconnect Form records an account holder’s request to disconnect utility service and asks for the account name, account address, disconnect date, forwarding address, account number, date, and signature. The form does not state when the city requires it or provide submission instructions.
Who needs it
An account holder who wants to request utility disconnection and provide a forwarding address can complete and sign 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 document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Utility Disconnect Form PDF.
- 2
Complete the Form
Enter the date, account name and address, disconnect date, forwarding address, and account number.
- 3
Sign and Date
Sign and date the form. It does not list any attachments.
- 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 Utility Disconnect Form request?
- It asks for the account name and address, requested disconnect date, forwarding address, account number, today’s date, and a signature.
- Who fills out the Utility Disconnect Form?
- An account holder requesting utility disconnection can complete the form with the requested account details and forwarding address.
- How do I submit the Utility Disconnect Form?
- The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- Do I need a notary for the Utility Disconnect Form?
- No. This form has a signature line and date field but no notary block; the signer just signs and dates it.