Stop Service: Residential

Instructions

Please complete this form if you are moving and need to cancel electric service at a residential location.

After you submit the form, a Wright-Hennepin representative will follow up within two business days to confirm your request by email or phone call. If you do not receive confirmation, please call Member Services at (763) 477-3000 during regular business hours to ensure your request was received.

Applicant Information

Contact First Name

Contact MiddleName

Contact Last Name

Phone

Last 4 of SSN#

Service Location Information

Service Address

Suite/Unit Number

City

State

Zip

Other Information

Is this a rental property?

Yes

Owner/Property Manager First Name

Owner/Property Manager Last Name

Owner/Property Manager Phone

Was this property sold?

Yes

Please provide your realtors information.

Realtor First Name

Realtor Last Name

Realtor's Phone

Forwarding Information

Forwarding Address

Suite/Unit Number

City

State

Zip

Forwarding Phone

Authorization

Date of Closing or Lease End

Name

Date

Questions/Comments:

This cooperative is an equal opportunity provider and employer.

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