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Lee County Utilities
Temporary (Summer) Service Disconnect/Re-connect
Service Request Form

LCU Account Number:


Example of Account # 1111111-1, or 0000000-1

Name on Account:

Service Address:

ZIP Code:

Phone Number:


Example of Phone Number: 239-111-1111

Email:

Requested Service:

Note: If you are unsure when you would like service to be re-connected, leave the Date Service Reconnect field blank. Once the date has been determined, please re-submit this form with reconnect date completed. Disconnection/Reconnection date must not land on a weekend or holiday. LCU requires 1-2 business day in advance notice for disconnection/reconnection of service