GreyStone Power Corporation

Residential Disconnect Service Request

Please complete this form only to disconnect your service.
If you wish to disconnect your GreyStone service AND YOU ARE TRANSFERRING SERVICE to a new residence within GreyStone's service area, please click here.
If you are not currently a GreyStone member and wish to sign up for new service click here.
Please allow 3 business days to process orders.
GreyStone does not connect or disconnect service on Saturdays, Sundays or business holidays.

NOTE: Fields marked * are required. Incomplete applications will not be processed.

*Full Name:
GreyStone Account:
*Social Security Number:

If the person requesting this disconnection is not the member or an authorized user on the account, please upload a Power of Attorney document that gives the requestor permission to make this change.
Upload POA document(s):

*Disconnect on:

*Service Address:

Current City:
Current State:
Current Zip:
*Forwarding Address:

*Forwarding City:
*Forwarding State:
*Forwarding Zip:
*Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Fax Phone Number:
*Request Submitted By:	(Full Name)
*Submitter's Email Address:
*Daytime Telephone Number:	(M-F between 8 AM & 5 PM)
Best time to call: