HomeMy WebLinkAboutSample Initial Notice of Termination.pdfSample Initial Notice of Termination.docx 1 2017-Nov
Company Name Office Address
Mailing Address City, State Zip code
City, State Zip code Office phone: xxx-xxx-xxxx
Emergency Phone: xxx-xxx-xxxx
Fax: xxx-xxx-xxxx
Email: xxxxxxx@xxxx
NOTICE OF INTENT TO TERMINATE SERVICES
Account Number: customer account #
Service Address: customer service address (mailing also if different)
TERMINATION DATE: Date (Note: This date has to be the proposed termination date. Service
can be terminated on or after this date for up to 21 days.)
BALANCE DUE: $xx.xx
You are hereby notified that you are delinquent in payment for water service provided to you
by Company Name. The balance owed on your account is indicated above.
If this balance is not paid or if payment arrangements are not made before the date shown
above, then YOUR WATER SERVICE WILL BE DISCONNECTED.
To avoid termination of service, you must contact Company Name before the Termination
Date to make a payment arrangement or pay in full. Please call on weekdays between TIME
a.m. and TIME p.m.
Termination may be delayed by:
1. Providing a medical certificate advising us of the existence of a Medical
Emergency; or
2. Filing a complaint regarding the proposed termination with the Idaho Public
Utilities Commission, PO Box 83720, Boise, ID 83720-0074
(800-432-0369 or 208-334-0369).
Service will not be terminated prior to resolution of a filed complaint. Termination of service
does not relieve you of your obligation to pay for all services prior to termination.
Should service be terminated, a charge for restoration of service of $xx.xx during regular
office hours, or $xx.xx for other than regular business hours must be paid in addition to the
account balance prior to restoration of service. A deposit may also be requested.
If you are unable to pay your bill in full, Company Name may assist you by making payment
arrangements. (This statement must be in bold print.)
Remember, your water will be turned off on or after the Termination Date shown above
unless you act before that date.