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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. Acknowledgment*

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

  3. 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.

  4. Leave This Blank:

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