Oak Ridge North, TX · Montgomery County

No notary required

Utility Disconnect Application

Oak Ridge North customers use this application to request utility service disconnection and provide service, contact, and forwarding address details.

What this form is

Use this application to request disconnection of utility service at a listed service address. It asks for the customer’s name, contact information, requested disconnect date, forwarding address, and driver’s license number, and includes an optional confidentiality request. The customer signs and dates the application; office-use fields record account and meter details and completion information.

Who needs it

A customer requesting utility service disconnection at an Oak Ridge North service address should complete this application.

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 application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Utility Disconnect Application.

  2. 2

    Complete The Customer Fields

    Print clearly and fill in the requested customer, service, contact, and forwarding address information.

  3. 3

    Choose Confidentiality

    Mark whether you request confidentiality for your address and telephone number.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the Utility Disconnect Application?
No. The application has a customer signature and date field, but no notary block or notarized attachment is listed; the signer just signs and dates it.
How do I submit the Utility Disconnect Application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for the customer’s name, date, service address, contact phone, requested disconnect date, forwarding address, confidentiality choice, signature, and driver’s license number.
Can I request confidentiality for my address and phone number?
Yes. The form lets a resident request confidentiality for their address and telephone number, subject to disclosure if required or mandated by law.

Need something notarized?

This Utility Disconnect Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.