Village of Ashville
91 West Main Street
Ashville, Ohio 43103
UTILITY SERVICE DISCONNECTION REQUEST
Account No. Date of Request Service Address: Customer Name: Billing Address: The address at which utility service is to be suspended is: (1) Same as billing address, or (2) The address at which utility service is to be suspended is a: (1) Single family residence (2) Duplex/triplex (3) Apartment building or buildings containing (a number) of units. (4) Nonresidential building. Reason for suspension: (1) A temporary suspension is needed for repairs to: (2) Other reasons. (Explain) To induce the Village of Ashville to suspend utility service to the address listed herein, I certify that I have personal knowledge that the information given above is accurate. Signature of customer requesting suspension |
NOTICE TO TENANTS (see reverse)
Village of Ashville
91 West Main Street
Ashville, Ohio 43103
DENIAL OF SERVICE
To: (Insert Name of Applicant) Date: Your application for utility service at: is denied for the following reason(s): We will agree to provide utility services at that address under the following conditions: If you disagree with this decision or the conditions we ask, you may request a hearing to appeal this denial. If you request a hearing, you have the right to examine utility department records concerning this denial; to bring a representative to help you with the hearing; and to bring witnesses to testify at the hearing. You may request a hearing now, orally or in writing, or by contacting the Village at (Signature of Employee Making Decision) Orig.: To Applicant cc: Attached to Service Address File |
Village of Ashville
91 West Main Street
Ashville, Ohio 43103
Notice of Termination of Utility Service
You are notified that utility service to: (service address) was terminated at a.m./p.m. on the day of , 20 , because of: (reason for termination) Service will be restored if and you pay a restoral fee of $ . You have a right to a hearing if you believe termination was wrong. Requesting a hearing at this time will not result in restoring service unless you win the hearing. However, if you believe this termination is a mistake in that you have not been previously mailed a final termination notice or you have already entered into a payment plan with Ashville, you should contact the Village Administrator immediately who may decide to reconnect your water service without the necessity of a hearing. If termination was for nonpayment of a utility bill by a customer who does not reside at the service address, an adult resident of the service address may be able to temporarily obtain utility service in their own name until the customer pays the back bills. If you obtain utility service in your own name, you must pay a deposit and agree to pay any charges that will be incurred while the bill is in your name. However, you will not be required to pay the customer’s back bill. If you: * wish to request a hearing; * wish to learn your rights concerning the hearing process; * wish to arrange for utility service reconnection; * wish to obtain utility service in your own name; contact the Village Administrator, Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. |