Agreement For Continuity Of Electric Service Cancellation Form
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1AGREEMENT FOR CONTINUITY OF ELECTRIC SERVICE
(Owner Authorization Agreement)
Cancellation Form
Dear Customer,
To cancel your current Owner Authorization Agreement with Southern California Edison, please complete
the form below with the service address(es) you wish to cancel. Only use a hyphen ("-") for consecutive
addresses or units, e.g., 101-299 Sample Street, Units A-Z. If addresses or units are not consecutive, please
list each one individually.
Before you submit your cancellation request, please read and understand the following:
•
The entire apartment building and/or business complex must be cancelled in its entirety. Requests
to cancel the Owner Authorization Agreement for individual units in a complex will not be
honored unless it is a condominium complex and individual units have been sold.
•
You may not cancel and then reinstate this Agreement due to a difficult tenant situation. Once a
request for cancellation is made, the Agreement shall remain cancelled.
•
Any active service account in your name will be turned off (disconnected) unless otherwise
specified.
Please Print or Type:
Name: __________________________________ Social Security # and/or Tax ID#_______________________
Please Cancel the following service address(es) from my current Owner Authorization Agreement.
ADDRESS
UNIT #’S
CITY
Home
Condo
Complex
Mailing Address for your Accounts Payable office: (PLEASE PRINT OR TYPE)
______________________________________________________________________________________
______________________________________________________________________________________
Signature: _______________________________________Title:_______________________Date:_______
Please complete, sign, date and mail or fax to the number listed below. Please contact us at 800-655-4555
with any questions. Thank you.
SCE O/A DEPARTMENT P.O. BOX 6400 RANCHO CUCAMONGA CA 91729 or Fax 909-942-8339
SCE
14-62 2/09/ 12/09 (MS)
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