Utility Termination Request
You are responsible for all charges up to the time of termination and will receive a bill for those services. Termination billing includes a current meter read and prorated services for the month of the termination date. The bill may come after your termination date. Any unpaid balances remaining after 30 days from your last bill may be referred to collections. If you have questions about your termination bill, please contact us at (801) 785-5043.
Account Number:
*
Exclude any periods.
Full Name:
*
First Name
Last Name
Email
*
example@example.com
Property Address
*
Street Address
Street Address Line 2
State / Province
Postal / zip Code
Phone Number
*
Please enter a valid phone number.
Forwarding Address for Final Bill
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Termination Date
*
/
Month
/
Day
Year
Date
Date Submitted
-
Month
-
Day
Year
Date
Will this property be occupied after the disconnect date?
*
Please Select
Yes
No
Unsure
Name of new owner/responsible party:
How many garbage cans do you currently have?
*
Please Select
0
1
2
3
4
5
How many recycling cans do you currently have?
*
Please Select
0
1
2
3
4
5
Submit
Should be Empty: