Residential Moving Out Request "*" indicates required fields Please use this form to cancel all utilities.Utilities to be disconnected Electricity Natural Gas Non-drinking Water Customer DetailsAccount Address* Street Address Address Line 2 City State Post Code Electricity Account #Gas Account #Non-drinking Water Account #Full Name*Date of Birth* DD slash MM slash YYYY ID TypeDriver licencePassportID Number*Contact Number*Moving Out Date* DD slash MM slash YYYY Please note: Disconnections available Monday-Friday excluding Public Holidays. 24 hours notice required.Contact InformationEmail Address* Postal Address*Account Address*Please send my final bill and notices via* Email address Postal address Acknowledgement* As the account holder, I hereby declare that the details entered above are to the best of my knowledge true and correct . I understand that vacating the premises is subject to the Terms & Conditions Δ Customer Service Residential Moving Out Request Small Business Moving Out Request Your Privacy Complaints Life Support Medical Confirmation
