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Termination Request Form

  1. City of Altamonte Springs Logo
  2. Termination requests are only processed Monday through Friday, excluding holidays. Please allow one (1) business day for processing. 

    For same-day service requests, DO NOT submit this form. Please contact Customer Service at (407) 571-8044 before 12 p.m. to handle your request.

  3. I certify that I am the current account holder of the abovementioned account. I understand that I am requesting services to be discontinued as of the Termination Date mentioned above and will be billed through that date. Any balances due will be my responsibility and shall be paid by the due date to avoid any collection activity.

  4. Acknowledgement:*
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  6. This field is not part of the form submission.