Changes to the Water Preauthorized Payment Plan / Monthly Payment Plan

Please complete section 1 and section 2 or 3 to make changes to your existing Water / Utility Payment Plan. All changes require two weeks notification prior to the next payment date.

Changes to Water Preauthorized Payment Plan / Monthly Payment Plan

Section 1 - Property/Business Information

Name *

Enter your name as it appears on your water bill

Telephone Number

Enter a number you can be contacted at during the day

Water/Utility Account Number

Property Address *

Effective Date for Account Change or Cancellation

All changes require two weeks notification prior to the next payment date

New/Updated Monthly Payment Plan (ONLY) Amount

Section 2 - Bank Account Change ONLY

Financial Institution Name and Address

Enter the name and address of your financial institution

Branch Number

Transit Number

Account Number

Section 3 - Cancellation Request

I wish to cancel my Payment Plan due to one of the following reasons:

sold property

rental

other

Once the plan is cancelled, all unpaid water notices become due and payable and are subject to penalties