Utility Disconnect Form | City of Yellowknife

City of
Yellowknife

Emergency Police, Fire, Medical Call: 9-1-1
MED After-Hours: (867) 920-2737
Public Works After-Hours: (867) 920-5699

1. Current Utility Disconnect Form
2. Complete

Please Provide:

Disconnect Date (Closing date of sale/termination of lease)

Utility Account Number

Name of Primary Occupant

Owner?

Yes

No

Are you selling the residence?

Yes

No

Address you are requesting services be discontinued at:

Please provide the mailing address for your final bill

Address

City/Town

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Fax

Email Address

Name of Additional Occupant

Home Phone

Work Phone

Cell Phone

Fax

DECLARATION: The above information, to the best of my/our knowledge, is true. Should the information change, I/we shall notify the City of Yellowknife. It is understood and agreed that permission hereby applied for is subject to compliance with the By-Law