Muscle Shoals Electric Board, AL - Stop Service
Name: (must match name on account)
Name: (must match name on account)
*
First
Last
Email:
*
Phone:
Phone:
*
-
###
-
###
####
Service address:
Service address:
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
Date service is to be disconnected:
Date service is to be disconnected:
*
/
MM
/
DD
YYYY
Mailing address (where final bill will be sent):
Mailing address (where final bill will be sent):
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
State of Driver's License
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Driver's License Number:
*
Maximum of
12
characters allowed.
Currently Entered:
0
characters.
Attach driver's license:
(File limit is 3MB)
*
Agreement:
*
Agreement:
I hereby certify that I am authorized to discontinue service at the above address, and that I am requesting that my services be disconnected effective on the date requested above. I understand that services may be disconnected at any time on the date requested or the next business day without further notice, and that MSEB will not be responsible for any damages, liability, etc that may result from disconnection of utility services. I understand that I am still responsible for any outstanding balances owed and that once deposits are applied, a final bill or refund check will be sent to the mailing address provided above.
Draw your signature into the box below:
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Submit