Cancellation Form

Please fill out the form below to cancel your electricity service.

Customer Name:

ESI-ID/ Account Number:

Service Address

City:

State:

Zip:

Email:

Phone Number:

Requested Cancellation Date (please allow 1-2 business days for processing):

Forwarding Address:

City:

State:

Zip:

Reason for Cancellation (mark one):

Moving (please provide proof of relocation)

Switching providers

Other...

Proof of Relocation

Attach proof of relocation for early termination fee waiver

Please check both boxes below

I understand I am terminating the electric service with Pulse Power at the service address listed above.

More than 2 business days’ notice is required in the event I need to cancel or change this disconnection request. I may be required to enroll for new electric service if the company is unable to cancel my request.

Scheduled move outs can occur at any time on the date I selected above. I am certain that I do not need electricity at all on the date I selected.

I understand I will remain liable for all charges accrued until the disconnection of service is completed by my local Transmission and Distribution Utility (TDU).

IF applicable, failure to provide a valid forwarding address may result in Early Termination Fee(s) as specified in my Terms of Service and Electricity Facts Label document with Pulse Power.

I confirm I am legally authorized to request cancellation of the electric service for the addresses listed above.