Agreement For Continuity Of Electric Service Cancellation Form

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AGREEMENT FOR CONTINUITY OF ELECTRIC SERVICE (Owner Authorization Agreement) Cancellation Form Dear Customer,

To cancel your current Owner Authorization Agreement with Southern California Edison, please complete

the form below with the service address(es) you wish to cancel. Only use a hyphen ("-") for consecutive

addresses or units, e.g., 101-299 Sample Street, Units A-Z. If addresses or units are not consecutive, please

list each one individually. Before you submit your cancellation request, please read and understand the following: The entire apartment building and/or business complex must be cancelled in its entirety. Requests to cancel the Owner Authorization Agreement for individual units in a complex will not be honored unless it is a condominium complex and individual units have been sold. You may not cancel and then reinstate this Agreement due to a difficult tenant situation. Once a request for cancellation is made, the Agreement shall remain cancelled. Any active service account in your name will be turned off (disconnected) unless otherwise Please Print or Type: Name: __________________________________ Social Security # and/or Tax ID#_______________________ Please Cancel the following service address(es) from my current Owner Authorization Agreement. Mailing Address for your Accounts Payable office: (PLEASE PRINT OR TYPE) ______________________________________________________________________________________ ______________________________________________________________________________________ Signature: _______________________________________Title:_______________________Date:_______

Please complete, sign, date and mail or fax to the number listed below. Please contact us at 800-655-4555