Cancellation of Services

Cancellation of Service

* Indicates required field

Applicant Name *

First

Last

Business Name *

Phone Number *

Cell Number *

Work Number *

Driver's Licenses *

State *

Social Security Number *

Email *

Date of Birth *

What is the date you would like to cancel your service?
(Service can only be cancelled on Working business days and cannot be any sooner then the next business day.)

Date Requested to Cancel Service *

Service Address *

City *

Zip Code *

When you start an account you are asked to put up a deposit. The City will deduct your final bill from the deposit. If there is an amount left over we will send you a refund check.

Forwarding address of where you are moving to: *

Line 1

Line 2

City

State

Zip Code

Country

Did you Own or Rent this Home/Business? *

Own Rent Rent to Own

If Rent or Rent to Own what is the name of Landlord *

Landlord's Phone Number *

Do you have trash through the City of Willard?

Select One *

If Yes then Which Trash Company do you have? *

By Clicking Submit, applicant(s) and/or property owner herby agree to abide by all rules and policies established by the City of Willard, MO concerning cancellation of service and payment of final bill.

Submit

We will NEED a digital COLOR copy of the Identification (Driver's License or other legal ID) for ALL person(s) who want to be on the account before we can complete the application.

Email the above Identification (most people are taking a picture of their ID) to the following emails (Please send to Both)