Electric & Water Service:

Gas Service:

Report a Gas Leak:

Empire Contacts

Skip Navigation Links   Home > Customer Service > Customer Service Forms > Service Disconnect Form
Thank you for using Empire District's online application.

We will respond to your request by telephone or email within two business days of receipt. An account representative may need to verify the service address, schedule a date for a service person to meet you at the property, and discuss any other account requirements.

Twenty-four hour notice, excluding weekends and holidays, is required for service requests.
Account Information
You will need to know your account number, your name, and the last four digits of your Social Security Number to proceed. Your name and Empire District account number should match exactly as it appears on your statement. For an example click here.
* Account Number:  - -
* Name:  (as appears on statement)
* Social Security Number:  (last four digits)
Verify Account
* (indicates required fields)