Fillable APPLICATION TO TERMINATE CWLP SERVICE (City Water, Light, and Power)

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APPLICATION TO TERMINATE CWLP SERVICE (City Water, Light, and Power)

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APPLICATION TO
TERMINATE CWLP SERVICE
Use this form only if you wish to stop receiving service from City Water, Light and Power.
- If you are moving to another location inside Springfield's service territory and wish to
have your service transferred to your new address, use the Application for Transfer of
Service to a New Location.
1. To ensure you will be able to successfully use this form, your computer should be equipped
with Adobe Acrobat or Acrobat Reader 8.0 or higher. You might not be able to submit the form
using an older version of Acrobat. Download a free copy of the latest version of Acrobat Reader.
2. Complete all appropriate fields on this application. (Fields identified by asterisks must be
filled in before you will be allowed to ubmit the form. Other fields are optional.)
3. If you wish to clear the data you have input into all of the fields, click the RESET FORM
button at the bottom of the form.
4. If you wish to submit the form electronically, click the SUBMIT FORM button at the bottom of
the form. A pre-addressed email message box containing your attached form will open. All
you will need to do now is send the email.
5. If you wish to print the form and manually submit it, you can mail or fax it to:
CWLP Customer Service Office
Room 101
Municipal Center West
Springfield, IL 62757
FAX: (217) 789-2026
6. CWLP will process your application for service termination within two business days of
receipt. In some cases, we will be able to follow through on your request based solely on the
information you provide in the application. However, in some cases, additional information
or arrangements will be required, in which case a Customer Service Representative will
contact you to work out details.
7. If you have questions about this application, call the CWLP Customer Service Office at
(217) 789-2030 or email cwlp.customer@cwlp.com.
APPLICATION TO
TERMINATE CWLP SERVICE
Please be sure to READ THE INSTRUCTIONS for submitting this form electronically BEFORE you proceed.
Asterisks indicate fields that must be filled in.
Customer
Last Name*
First Name*
Initial
Area Code Extension
Daytime Phone*
Email Address
Account #
Current Service Address
Street Address*
Apartment/Unit #
City*
State*
ZIP Code*
Month Date Year
Date to Terminate Service at This Address*
Address to Which Final Bill Is to Be Mailed
Street Address*
Apartment/Unit #
City*
State*
ZIP Code*
If you are having difficulty printing or submitting this form, it is likely because your computer is not
equipped with an appropriate version of Adobe Acrobat. Please refer back to the instruction page.
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APPLICATION TO TERMINATE CWLP SERVICE (City Water, Light, and Power)

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Completed 22 July 2021

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