Disconnect Service

Please complete this form to disconnect your Flint electric service. Allow two days for service order to be processed.

(* denotes a required field.)

Name as listed on your Flint Account:*

Flint Account Number:*

Last four digits of your Social Security Number:

Street Address:

Where you receive Flint electric service (to be disconnected):

City:

State:

Zip Code:

Do you want to disconnect all your Flint accounts or just this one?

This One

All

Home Phone & Area Code:

Business Phone & Area Code:

Cell Phone & Area Code:

Best Time To Call

E-mail:*

Requested Disconnection Date:*

(mm/dd/yyyy)

Forwarding address for your final bill.

Phone number at new location, if applicable:

Street Address:

City:

State:

Zip Code:

Request submitted by (name):

E-mail:*