Get Flat Rate Enrollment Form Final - Hrsd State Va

This guide provides a clear and user-friendly approach to filling out the Flat Rate Enrollment Form Final for wastewater treatment charges in HRSD, State Virginia. Following these steps will help users navigate the form efficiently and ensure accurate submission.

Follow the steps to complete your enrollment form online.

1. Press the ‘Get Form’ button to access the Flat Rate Enrollment Form and open it in the editor.
2. Begin by entering your personal details in the designated fields, including your customer name, account number, service address, city, phone number, and email address. Ensure that all entered information is accurate to avoid processing delays.
3. Read the authorization statement carefully. By signing this form, you confirm that you are authorizing HRSD to switch your wastewater treatment billing rate to a flat rate of $20.16 per 30-day period. Familiarize yourself with the terms related to how this might affect billing cycles.
4. Sign the form in the designated area. This signature confirms that you are authorized to make changes to the account listed. Remember that unsigned forms will not be processed.
5. Enter the date on which you are signing the form in the specified field.
6. After filling out the form, review all sections to confirm that the information is accurate and complete.
7. Once verified, save your changes. You can then download, print, or share the completed form as needed.

Complete your Flat Rate Enrollment Form online today to ensure efficient processing.