Natalia, TX · Medina County
Utility Service Disconnection Request
Residential or commercial account holders use this form to request disconnection of utility service from the City of Natalia.
What this form is
This request lets residential or commercial account holders arrange for utility service disconnection. It asks for the account number and name, service address, requested disconnection date, forwarding address, contact phone number, and the customer’s signature and date. The form explains that metered charges continue through the disconnection date, non-metered charges are not prorated, and any deposit refund depends on remaining balances.
Who needs it
Residential or commercial utility account holders who want to arrange for disconnection of service use this request form.
How to submit it
Submit the completed request by fax to (830) 663-3806, email to [email protected], or mail it to the City of Natalia Water Department, P.O. Box 270, Natalia, TX 78059. You may also deliver it in person to 2078 State Hwy 132 N, Natalia, TX 78059.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the request.
How to submit this form
- 1
Download The Request
Download the Utility Service Disconnection Request form.
- 2
Complete The Form
Enter the account and service details, requested disconnect date, forwarding address, and contact phone number.
- 3
Sign And Date
The customer signs and dates the request.
- 4
Submit To The City
Fax, email, mail, or deliver the completed request using the contact details on the form.
Frequently asked questions
- Who can use the Utility Service Disconnection Request?
- Residential or commercial account holders can complete the form to arrange for disconnection of utility service.
- What information does the disconnection request ask for?
- It asks for the account number and name, service address, disconnect date, forwarding address, contact phone number, and customer signature and date.
- Do I need a notary for the Utility Service Disconnection Request?
- No. This document is signed and dated without a notary; the signer just signs and dates the request.
- How do I submit the Utility Service Disconnection Request?
- Send it by fax or email, mail it to the City of Natalia Water Department, or deliver it in person at the addresses listed on the form.
Need something notarized?
This Utility Service Disconnection Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.