Leave on for Landlord - De-enroll Accounts

To de-enroll accounts from this program, complete this form and Submit. These accounts will no longer be transferred to your name when your tenant stops service.

* indicates required fields

Your Information

The information below will be used to contact you throughout your enrollment in the Leave on for Landlord Program. You will be contacted by Email or Standard Mail based on your preferred method of communication.

Name:

Mailing Address:

All correspondence will be mailed to this address.

City:

State:

Zip Code:

Telephone:

Please enter a valid value in the format of 999-999-9999.

Preferred Method of Communication:

Standard Mail

De-enroll Accounts

Please enter information for one building and its accounts. To de-enroll accounts for another building, please complete a new form. De-enrollment of these accounts will be effective next business day.

I want to

De-enroll the whole buildingDe-enroll selective accounts of the building

Building Address

Street Address:

Address 2:

City:

State:

Zip Code:

	Name of Account Holder *	Account Number	Apt # or Floor *
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Important Note

Please be aware that by selecting Submit, you will be removing all above accounts from the Leave on for Landlord program, and service will no longer be transferred to your name when your tenant stops service. If you want gas service to be disconnected for any account currently in your name you will have to contact National Grid at 718-643-4050.

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Leave on for Landlord - De-enroll Accounts

To de-enroll accounts from this program, complete this form and Submit. These accounts will no longer be transferred to your name when your tenant stops service.