Florida Keys Electric Cooperative

Stop/Disconnect Existing Service

To disconnect service to your meter, please complete the following form.

Required fields are marked with *

  Today’s date: November 13, 2019
*
Desired disconnect date:
     
  Note: Please allow 1 business day to process your request.
A $50.00 disconnect fee (per meter) will be applied to your account balance.

Please choose which type of account you would like to disconnect.

Disconnecting: 

Service Location Information:

*
FKEC Account #:
*
FKEC 8-Digit Meter #:
  Subdivision:
  Lot/Block No:
*
Street Address:
  Unit Number/Apartment
*
City:
  Zip Code:

 

Member Information:

*

Name as it appears on the FKEC billing statement:

*

Last 4 digits of the primary Member’s SSN:

*

Location Phone:

*

Alternate Phone:

Cell phone:

*
*

E-mail:
Confirm E-mail:


Member Information:

*

Name as it appears on the FKEC billing statement:

*

Federal Tax ID# (EIN):
Or last 4 digits of primary member's Social Security Number

*

Officer's Name:

*

Officer’s Title:

*

Business Phone:

Ext.

Cell phone:

*
*

E-mail:
Confirm E-mail:


 

Member's Forwarding Address:

*

Billing address (line 1):

 

Billing address (line 2):

*

City:

*

State/Province:

*

Zip Code:

*

Country:

 

*
Would you like to apply the billing deposit on this account to the final bill (if applicable)?

(YES – please apply my deposit)
 

(NO - please hold my deposit)

 

Additional Comments:

Limit 500 characters

Enter the code above here:

 

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