Request for Temporary Disconnect

The following document is used to request the temporary disconnect of electric service in advance of electrical. upgrade or major renovation. Please make sure the customer listed on the account signs below.

Property Owner(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Request Type(Required)

Pull Meter

Service Disconnected

Electrical Service Is(Required)

Overhead

Underground

Canby Utility Electric Meter Number(Required)

Please note, disconnection may take up to 5 business days from the date of request. Please provide a specific date and time (not ASAP) below.

Requested Date Canby Utility Can Remove Service(Required)

Available dates: Monday through Thursday

Time(Required)

Available times: 7:30 a.m. to 5 p.m.

Current Mailing Address(Required)

Same as Service Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Please Email Confirmation To(Required)

Enter Email Confirm Email

Owner's Electronic Signature (Full Name)(Required)

Question? Please call (503) 266-1156.

Comments

This field is for validation purposes and should be left unchanged.