Disconnection of Service Charles Town Utility BoardP.O. Box 359, Charles Town, WV 25414ph (304) 725-2316 info@ctubwv.com Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.THIS IS A REQUEST FOR A FINAL READING ON MY SERVICECustomer Account *Customer Name *Residential or Business Address *Residential AddressBusiness AddressAddress Discontinuing *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate for Discontinuing *SERVICE WILL BE STOPPED DURING OUR BUSINESS HOURS ONLY. SERVICE CANNOT BE STOPPED ON HOLIDAYS, WEEKENDS OR AFTER 4:00 PMAddress to Send Final Bill *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCANNOT BE THE SAME AS THE ADDRESS DISCONTINUING Date *Drivers License/FEIN Number *Picture Identification * Drag & Drop Files, Choose Files to Upload Submit
