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Roosevelt City Request to Discontinue Utility Service(s) Form

  1. Roosevelt City Request to Discontinue Utility Service(s) Form

  2. Important

    Mailing Address Information: Must have in case customer has a refund on the security deposit so it is not returned by the postal service for the wrong mailing address.

  3. You Can Also Fax Form To:

    435-722-5000

  4. Office Use Only

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