Required fields are marked with asterisks (*)

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.

Section 1 - Property/Business Information

Name

Phone Number

Water/Utility Account Number

Property Address

Effective Date for Account Change or Cancellation

New/Updated Monthly Payment Plan (ONLY) Amount

Section 2 - Bank Account Change ONLY

Financial Institution Name and Address

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

Prefer Annual Payment

Other

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

Forms

Changes to the Water Preauthorized Payment Plan / Monthly Payment Plan

Section 1 - Property/Business Information

Section 2 - Bank Account Change ONLY

Section 3 - Cancellation Request