2. Commercial Utility Account Move Out Request

   When canceling an account, please keep in mind that the City needs two business days to process request. In the event a refund is due from a final bill, please be sure to include accurate forwarding and contact information. If you have any questions, please contact the Finance Department at 630-232-0854 during our operational hours or email financeemail@geneva.il.us

4. Filer First Name
5. Filer Last Name
6. Relationship to Utility Account Holder
8. Email Address*
9. Phone Number*
11. Closing/Lease End Date*
    Closing/Lease End Date

    Enter your closing date or lease agreement. We cannot go back in time to get a final read. Please allow one to two business days for us to obtain a final read.

13. Service Address*
17. Utility Account Information
19. Utility Account Number

    e.g. 0123000456-000

20. Relationship
    -- Select One --Property OwnerTenantProperty Management
22. Business/Organization Name

    The name that appears on the utility account

24. Final Bill Forwarding Address
26. Forwarding Address*

    Include Suite/Apt/Unit number

28. City*
29. State*
30. Zip*
34. Landlord Information
    If you are a tenant, please fill out the information below.
36. Landlord First Name
37. Landlord Last Name
39. Landlord Address

    Include Suite/Apt/Unit number

41. City
42. State
43. Zip
45. Landlord Phone Number
46. Landlord Email
50. Additional Information
52. Terms of Agreement*

    1. I understand that checking this box constitutes a legal signature confirming that I agree to the terms and conditions set out in this application and in the Geneva City Code.

    That this electronic signature is the legally binding equivalent to my handwritten signature and has the same validity and meaning. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

54. I acknowledge that this constitutes written application for termination of utility service at the address above, pursuant to the Geneva City Code, 9-1-1A. Further, I acknowledge that I agree to pay all charges for services rendered as a result of this request. I understand and agree that failure to pay any amount due to the City of Geneva can result in discontinuation of services until such time as payment has been received.

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field