Bardstown Kentucky Salt River Electric Cooperative serves 40,000 members in 10 counties across Central Kentucky including Springfield Kentucky Bardstown Kentucky and Shepherdsville Kentucky

DISCONNECT REQUEST FORM

Consumer Name:

Individual Requesting Disconnect:

Social Security # :

Spouse Name:

Account Number :

Email Address:

Service Address:

City:

State:

Zip:

Phone Number:

Date service is to be disconnected:

Forwarding Address:

City:

State:

Zip:

Do you have other accounts in the Salt River Electric service area?
NO YES

Will you be moving to another location in the Salt River Electric service area?
NO YES

It is important that all information is filled out completely.