Get Utility Payment Agreement

Filling out the Utility Payment Agreement online can be a straightforward process when you understand each section of the form. This guide provides clear, step-by-step instructions to help you complete the agreement accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the Utility Payment Agreement. This will open the document in an editable format for you to complete.
2. Enter your name in the designated field. Ensure it matches the name on the utility account to verify your identity.
3. Provide the service address associated with the utility account. This is the location where services are being provided.
4. Specify the extended date you are requesting for payment. Ensure this date is within the allowed timeframe as noted in the agreement.
5. Fill in your account number. This should be the unique identifier for your utility account, found on your standard bill.
6. Indicate the total amount due on your account. Double-check this figure to confirm accuracy.
7. If applicable, fill in the agreement number that may have been assigned to your request, following any instructions provided.
8. Read the terms regarding payment agreements, including that no more than two agreements will be allowed per calendar year and the consequences of account delinquency.
9. After reviewing all information for accuracy, provide your signature in the designated area to indicate your acceptance of the terms.
10. Date your signature accurately to reflect when you completed the agreement.
11. If required, a field will indicate approval by a utility company representative, which may be signed and dated by the approving party.
12. Once you have completed all fields, you can save changes, download the document for your records, or print and share it as necessary.

Complete and submit your Utility Payment Agreement online today for a hassle-free experience.