Cancel Utility Service

Please fill out the application below.

	�Request to Close Utility Account City of Beverly Hills 455 N. Rexford Drive Beverly Hills, CA 90210
Please fill out the application below to close your utility account. Be sure to provide accurate information so any credits or outstanding balances will be sent to you. A confirmation receipt will be emailed to you once you fill out this form. Should you have any further questions or concerns, please email us at utilitybilling@beverlyhills.org or call (310) 285-2436.
Account Number
Account Name (First, Middle, Last)
Care/of (Optional)
Company Name (Optional)
Stop Service Date (MM/DD/YY)
Current Service Address (Ex: 123 Main Street)
City
Zip Code
Forwarding Address (Example: 123 Main Street)
City
Zip Code
Contact Name
Contact Phone Number
Secondary Phone Number
Email Address
�	?
Certification I hereby acknowledge and agree to close the utility services account at the above address under the terms provided in Title 6, Chapter 1 of the City of Beverly Hills Municipal Code. I understand that I will be responsible for all charges incurred until the termination of services. Provide your digital signature by typing in your name and click "Submit" to indicate that the information provided is true and you agree to the terms above. Digital Signature �