Small Business Moving Out Request/Disconnection Request "*" indicates required fields 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 #Company Name*Authorised Person Name*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*If future address is unknown please enter a preferred address for notices.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
