Utility Service Termination Request

Request for Utility Service Termination

  1. UTILITY SERVICEFXBG Finance TERMINATION REQUEST

    UTILITY BILLING OFFICE

    MAILING ADDRESS - P. O. BOX 7447 FREDERICKSBURG VA 22404

    PHYSICAL ADDRESS - 715 PRINCESS ANNE STREET (CITY HALL) FREDERICKSBURG VA 22401

    PHONE - 540-372-1182 (OPTION 2) FAX - 540-372-1215 EMAIL - UTILITYBILLING@FREDERICKSBURGVA.GOV

  2. Services to terminate*
  3. (NOTE: The Mailing Address, City, and Zip Code supplied above should be the address at which you would like to receive your final bill from the City of Fredericksburg.)

    By signing this form, I hereby request to terminate all City supplied utility services as of the date listed above. I am aware that this request must be submitted 24 hours before the requested termination date.  If requested termination date falls on a weekend or holiday, the service will be terminated on the next business day. I am aware that once this request is processed, a final bill will be generated and that I, the account holder, will be responsible for that balance. If there was a deposit provided when my account was opened, I am aware that it will be applied to the final bill. If trash/recycling services are being provided, I agree to place these receptacles in an easily accessible area for the City Public Works staff to retrieve.

     

  4. I Agree*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  5. Leave This Blank:

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