Service Start/Stop/Transfer Form


Usage Restricted

1. All Commercial Customers MUST Call; this form is for Residential Use Only.
2. Individuals subject to Erlanger's Exclusive Franchise Agreement cannot cancel service unless you have moved out of the municipality and the PVA confirms. Please refer to Erlanger's web site for details.
3. Only complete the BASIC section in addition to the one that applies to your change request type.
BASIC INFORMATION:    
Name:
Address::
City:
State:
Zip:
Phone:
E-Mail Address:
         
CHANGE TYPE:    
Start  
Stop  
Transfer  
   
Account Info. Change
 
         
START SERVICE INFO:    
Start Date
Rent/Purchase Toter
For more information, and pricing, please call 859.485.4416
     
STOP SERVICE INFO:  
Account Number:
Service Address:
Forwarding Address:
Cancel Effective:
Reason For Stopping Svc:
     
SERVICE TRANSFER    
New Address
Last Day Pickup Old
First Day Pickup New
New Phone:
         
     


Location

12764 McCoys Fork Road
Walton, Kentucky 41094
Phone: 859.485.4416
Fax: 859.485.1406
Hours: M-F 5:00am - 5:00pm
Saturday 7:00am - 3:00pm

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