Section 1 of 4 in this document

TO STOP SERVICE

The completion of this form does not cancel service; This form, along with contacting you by phone, will assist us in processing your request to stop utility service with the City of Redlands.

Service Disconnection Date Requested (subject to availability)

Street Number

Street Name

Section 2 of 4 in this document

First Name

Last Name

Account holder SSN/Tax Payer I.D. Number

Contact Phone Number

Section 3 of 4 in this document

TO STOP SERVICE

Service Disconnection Date Requested (subject to availability)

Forwarding Address