Cancel Service

This form is to cancel your utility service with the City of Oregon City. When using this form, please make your cancellation date as close as possible to the date you actually turn your keys in.

Example : When the home keys have been turned over to the next responsible party.

Multiple Family Dwellings

If this service is for a duplex, tri-plex, or apartments, we require that the seller of the property provide new owner information in the comments section of this form.

Request Type:: *

Cancel Service

Cancel Request Date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year2009201020112012

Date the keys have been turned over to Owner, New Owner, Managment Co.

Date keys to the home are Received or Turned Over: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

This field must be filled on, this date is required.

Name: *

Name the Account is under or how it's to appear on the billing statement

Driver's License Number: * Include state

Social Security Number: *

Email:

Customer Number: *

Customer Number - located on monthly billing statement

Current Address: *

Current or Vacating Address

Forwarding Address: *

Forwarding Address - where the final billing can be mailed

Phone: *

Phone at current address, Cell phone # if there is no home phone

Phone Alternate:

Phone Alternate - after move

Status: *

Renter*

Owner

Sold

Foreclosed

Leasing with option to buy

*Renters must supply either Social Security Number or Drivers License Number.

Property Type: *

Residential

Commercial

Apartment

Duplex,Triplex

*If Checked Duplex, Triplex information regarding the new owner must be supply by the person stopping the service.

Additional Information for this request:

Spam Protection

Please enter the code above - use capitals as indicated. This helps prevent spam submissions.

What code is in the image?: *

Enter the characters shown in the image. Ignore spaces and be careful about upper and lower case.