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Utility Release Form
"I need a Utility Release Form to terminate electricity and gas services at my rental property at 123 High Street, London, as I'm moving out on March 15, 2025, and want to ensure all final readings and payments are properly documented."
1. Customer Information: Details of the customer requesting the release including name, contact information, and account numbers
2. Property Details: Address and relevant property information where utilities are concerned, including service addresses
3. Utility Service Details: Specific utilities being released/transferred, including account numbers and service types
4. Release Declaration: Formal statement of release and associated terms, including liability limitations and effective date
5. Signature Block: Space for customer signature, date, and witness signature if required
1. Third Party Authorization: Authorization section for when someone other than the account holder is executing the release
2. Property Access Terms: Terms and conditions for accessing property for final readings or disconnection procedures
3. Payment Settlement: Details regarding final bill settlement and handling of outstanding payments
1. Schedule A - Meter Reading Records: Final meter readings and historical usage data for all applicable utilities
2. Schedule B - Payment History: Record of previous payments and outstanding balances for reconciliation
3. Schedule C - Supporting Documents: Required documentation including ID copies, proof of ownership/tenancy, or authority documentation
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