Christiansburg, VA · Montgomery County
Utility Service Disconnection Form
Account holders use this form to give Christiansburg written instructions to disconnect water and solid waste service at an address.
What this form is
Christiansburg requires people or entities with water and solid waste service in their name to provide written disconnection instructions. The form records the account, service address, forwarding address, contact and employment details, disconnection date, and whether the property has been sold. The account holder is responsible for authorizing disconnection and is the only person authorized to sign.
Who needs it
The account holder for water and solid waste service should complete this form when requesting disconnection at the service address.
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 form is signed and dated without a notary; it includes no notarized or sworn attachment, so the account holder simply signs and dates it.
How to submit this form
- 1
Download the Form
Download the Utility Service Disconnection Form.
- 2
Complete the Form
Enter the requested account, address, contact, employment, and disconnection details.
- 3
Sign and Date
The account holder must authorize disconnection by signing and dating the form.
- 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
- Do I need a notary for the Utility Service Disconnection Form?
- No. The account holder signs and dates this form; it has no notarized or sworn attachment.
- Who is authorized to sign the form?
- The document says the account holder is responsible for authorizing disconnection and is the only person authorized to sign.
- What information does the form request?
- It asks for account and service details, disconnection and forwarding information, contact and employment details, and whether the property has been sold.
- How do I submit the Utility Service Disconnection Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Utility Service Disconnection Form doesn’t need a notary — but if you have another Christiansburg form that does, a commissioned online notary can help.