Utility Service Termination Form

Utility Service Termination Form

Use this form if you are terminating all utilities. If you are only terminating internet, TV, or phone service, please call us 801-804-4503.
Customer Type*
If you are a homeowner, you may fill out this form anytime after both the buyer and the seller have signed closing documents.
If you are a commercial building owner, you may fill out this form anytime after both the buyer and the seller have signed closing documents.
We have found that projected closing dates often change. Therefore, you must wait until both the buyer and the seller have signed closing documents to terminate utilities. If you haven't yet signed closing documents, please do not fill out this form.
If you are a tenant, we will terminate services the day that you choose on this form. Please note that we cannot backdate terminations.
Name on Utility Account*

First NameLast Name
Business Name*
Utility Account Number or Last 4 of SSN*
Utility Account Number or Business EIN *
Utility Service Address (include apt # or unit # if applicable)*
Phone Number*
Email (we will send you a confirmation of this request)*
Landlord Name

First NameLast Name
Landlord Phone Number
Termination Date (must be today's date or later and after closing)*

MonthDayYear
Date
Termination Date (must be today's date or later-not more than 14 days in advance)*

MonthDayYear
Date
Forwarding Address (must be different than your current utility address)*

Street Address

Street Address Line 2

CityState

Zip Code
Spanish Fork City bills for utilities the month after you use the service. Your final bill will be pro-rated through your termination date and will be due the month after termination (see table below).
If you paid a deposit, it will be applied to your final bill. If you are enrolled in ACH autopay, that will remain active for your final bill.
If you have City internet,TV, or phone service, some equipment will remain in the home, while other equipment must be returned. Below are pictures showing which items stay and which need to be returned.
If you have City internet, TV, or phone service, some equipment will remain in the building while other equipment must be returned. Below are pictures showing which items stay and which need to be returned.
Please return equipment to the SFCN office at 657 West Center Street within two business days of termination. Equipment not returned will be billed to your account.

If you are unsure what equipment needs to be returned, call us at 801-804-4503, and we'll be happy to assist you.
Signature*

Clear
Today's Date

MonthDayYear
Date
Should be Empty: