Olney, TX · Young County
Temporary Off Request
Olney utility account holders use this request to ask the city to temporarily place their utility service on hold for selected dates.
What this form is
The Temporary Off Request asks the city to place a utility account on hold for a requested start and end date. It collects the request date, customer name, address, phone number, account number, and signatures. The form states that a $25 fee applies for each three-month period, a final bill is issued for the month service is placed on hold, and service may be reactivated unless the customer contacts City Hall to extend the hold.
Who needs it
An Olney utility account holder who wants to request a temporary hold on service for a specified period needs 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 request is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Request
Download the Temporary Off Request for an Olney utility account.
- 2
Complete The Request
Enter the request date, your name, address, phone number, account number, and requested start and end dates.
- 3
Review And Sign
Review the agreement terms, then sign and date the request. No attachment is listed on the form.
- 4
Submit To The City
Submit the completed request to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Temporary Off Request do?
- It lets an Olney utility account holder request a temporary hold on service by providing requested start and end dates and account and contact information.
- What fee and billing terms does the form list?
- The form lists a $25 fee for each three-month period on temporary off and says a final bill is issued for the month the account is placed on hold.
- Do I need a notary for the Temporary Off Request?
- No. The request is signed and dated without a notary, and the form lists no notarized or sworn attachment.
- How do I submit the Temporary Off Request?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Temporary Off Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.