If you are moving out of BENCO Electric Cooperative’s service territory, please complete and submit the following form to stop billing and close your account:

Date Service Stops *
Date Service Stops
I am *
Service Address *
Service Address
Name of Responsible Party *
Name of Responsible Party
Phone Number *
Phone Number
Forwarding Address *
Forwarding Address
Requested by: *
Requested by:
Person submitting application.