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Closing Accounts

Closing Accounts

To close your account, you must complete the Cancel Service Form  and return it to City Hall via mail, email, fax, or in person.  You can also electronically fill out the cancellation form below. Contact information is listed on the form. It is your responsibility to notify the City when you move or want to make any changes to your account. The meter will be read on the date you specify as the closing date, and the closing bill will be prorated for the prior month’s service.

Cancel Utility Services

City of Escalon

Cancel Utility Services Form

Stop Property Address:  Customer Account #: 


Customer Information

Name:  DOB  DL#  SSN 

NEW Mailing Address: 

Cell Phone #  Home Phone #  Other # 

Employer Name & Address: 

Spouse/Partner:  DOB  SSN 

Cell Phone #  Email Address: 

To Terminate service, you must provide current contact information so that we can contact you in the event we cannot terminate service based on the information provided or to return a deposit. 


Are you a Renter or an Owner

If you are a renter: Move out date:  (Date keys are returned to the landlord)

                 Landlord's Name: 

                 Landlord's Phone #:  

If you are the owner: Close of Escrow Date:  or Short Sale/Foreclosure Date: 

Deposit Information

If you have a deposit on your account, it will be applied to the final bill and any remainder over $5.00 will be refunded to the account holder. Deposit refunds are processed two to four weeks after the termination of service and are mailed to the account holder. If you are simultaneously starting service elsewhere in Escalon, your deposit will be transferred to your new account. 

Date:      Type Name Here: 

By typing your name you agree to the following: 

By typing in your legal name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By typing in your legal name you consent to be legally bound by this form's terms and conditions. You further agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide the City of Escalon, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and the City of Escalon. You also represent that you are authorized to sign this form for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this form. 



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Contact Info

Telephone:
(209) 691-7423