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Payment Plan for Delinquent Utility Bill

  1. Please select a day within the current month that you are able to pay the remaining balance

  2. Payment plans must be paid in full in current month before the next bill is mailed. Requests beyond normal payment plan policies require explanation to be approved.

  3. Acknowledgment*

    I have read and understand the Payment Plan Policy and agree to the terms of this payment extension.

  4. 25% Payment Acknowledgement*

    I agree to pay 25% of the Total Amount Due before 10 AM on the disconnect day. Disconnect day is listed on your bill.

  5. Leave This Blank:

  6. This field is not part of the form submission.