Landlord/Rental Property Owner Notice

As a landlord or owner of rental property, please submit this form to notify Rock Energy when service should be started and/or disconnected.

Landlord/Rental Property Owner

Service Address

City/Town

State/Province

ZIP/Postal Code

Start or end service (check one):

Start service

End service

Date to start or end service

First and last name of person submitting form:

Name of landlord/rental property owner

Best contact phone number

Best contact times

Email address

Service is currently in (check one)

Owner's Name

Tenant's Name

As a representative of the company, I hereby release, indemnify, and hold harmless REC from all claims, damages, or causes of action arising from termination of REC’s services consistent with this agreement.

Please confirm that you have read the following statement. I understand as a member I am subject to the cooperative's bylaws, policies, rules and operating procedures.

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