Temporary Suspension Form

A customer may request that residential service be suspended for a minimum of thirty (30) days and a maximum of six (6) consecutive months. No more than two (2) suspensions of service under this provision can be sought in a 365-day period, and, in no event, can combined suspensions of service exceed a total of twelve (12) months in a 365-day period. After two (2) consecutive six (6) month suspensions, a customer may apply for a formal request with the Board of Ada County Commissioners for a continued suspension of service up to one (1) year by completing the following application: Continued Service Suspension Form

Your Information

Full Name(Required)

Account Number(Required)

Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

By providing your email, you will be sent a copy of this form submission.

Vacancy Information

Service Address

Street Address City State ZIP Code

Vacancy Start Date(Required)

Vacancy End Date(Required)

minimum of (30) days

maximum of six(6) consecutive months

Reason for Vacancy (select one)(Required)

Property is for sale / rent or property is under extensive remodel

Snowbird / extended vacation

Property has been demolished / not livable or the lot is bare

Health / medical issues or death

Military deployment or working out of the area

Other

Submission

I certify that the information included in this application is true and accurate. I acknowledge that if any information provided is found to be false or inaccurate, discount(s) received will be reversed

Please electronically write your full name

File

Max. file size: 47 MB.

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