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Disconnection of Services

  1. City Logo.jpg

  2. Elgin, Texas 78621

  3. I understand that my deposit, if any, will be applied to my final bill. If i am due a refund it will be mailed to me in 4 to 6 weeks.

  4. I understand that by typing my name above, I am authorizing the Utility Billing Department to disconnect my services on the date indicated.

  5. If you would prefer to print this form and submit it to the Utility Billing Department, you may use one of the following methods:

  6. Leave This Blank:

  7. This field is not part of the form submission.