Moses Lake, WA · Grant County
Request to Discontinue Services
This form asks Moses Lake utility customers to request service disconnection, provide account and forwarding details, and sign the request before filing it with the City Utility Department.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to tell the City of Moses Lake when you plan to move out and discontinue utility service. It collects your account number, disconnect date, service address, contact information, and mailing or forwarding address. The form says it must be notarized or accompanied by a copy of a government-issued ID when it is not filed in person with the City Utility Department.
Who needs it
Moses Lake utility customers moving out who are not filing the discontinuation request in person with the City Utility Department need this form notarized or must include government-issued ID.
Why it needs a notary
The form carries an acknowledgment block; the person signing the request must appear before the notary and acknowledge signing it as an authorized, voluntary act.
How to get this notarized
- 1
Download the Form
Get the Request to Discontinue Services form from the City of Moses Lake.
- 2
Fill In Your Details
Enter your account number, planned disconnect date, service address, contact details, and forwarding address.
- 3
Book an Online Notary
Arrange a remote notarization if you will not file the form in person and are not including a copy of government-issued ID.
- 4
Sign on Video
Appear by video before a commissioned online notary and acknowledge your signature.
- 5
Submit to the City
Send the completed form to the City of Moses Lake Utility Department.
Preview the form
The blank PDF straight from Moses Lake. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the Request to Discontinue Services?
- Complete the form and submit it to the City of Moses Lake Utility Department. If you do not file it in person, the form must be notarized or include a copy of a government-issued ID.
- Do I need to notarize this form?
- If you are not filing the request in person with the City Utility Department, the form must be notarized or include a copy of a government-issued ID.
- Can I sign the request with an online notary?
- Washington authorizes remote online notarization for its own notaries under RCW 42.45.280, effective since October 2020. You can sign before a commissioned online notary; confirm with the city or town if unsure.
- What information does the form ask me to provide?
- The form asks for your account number, disconnect date, service address, name, phone number, and mailing or forwarding address.