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UTILITIES - Account Suspension Request

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Notice: Copy of Driver's License required before account can be suspended.

PLEASE EMAIL A COPY OF YOUR DRIVER'S LICENSE TO UTILITIES@SULPHUR.ORG

YOUR ACCOUNT WILL REMAIN OPEN AND ACTIVE UNTIL WE RECEIVE BOTH THE FORM AND YOUR LICENSE

If more information is needed, the City will contact you at the email address or phone number you provided.

* Denotes a required field

Please Do Not Complete The Following Field

Today's Date*

MonthDay Year,

Requested Date*

MonthDay Year,

Customer Name*

Last 4 of SSN*

Last 4 of Driver's License*

Service Address*

Email Address*

Confirm Email Address*

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

BELOW: PLEASE PROVIDE YOUR NEW MAILING ADDRESS FOR POSSIBLE REFUND OR FINAL BILL*

Additional Information*

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