Get Billing Option Change Form - Utah.gov - Utah

The Billing Option Change Form is essential for users seeking to modify their billing preferences with Utah.gov. This guide provides detailed, step-by-step instructions on how to fill out the form online, ensuring you have a seamless experience.

Follow the steps to successfully complete the Billing Option Change Form.

1. Press the ‘Get Form’ button to access the Billing Option Change Form and open it in the designated editor.
2. Fill out the current account number in the provided field at the top of the form.
3. Complete the Physical Address section by entering the organization name, contact/admin name, address, city/state/zip, and telephone number, including any extensions if applicable.
4. In the Billing Address section, replicate the organization name, contact/admin name, address, city/state/zip, and telephone number as required.
5. Select your preferred billing option by marking one of the radio buttons. Options include credit card or auto check.
6. If opting for credit card payment, enter the card details including bank name, card number, routing number, expiration date, and name on the card. Specify the account type—whether checking or savings and whether it's a business or personal account.
7. Indicate if you would like to receive a monthly invoice via email. Provide the full name and email address of the person who will handle invoicing.
8. In the Additional Information section, check any applicable boxes to request additional services such as a list of current users or online access to account activity.
9. Select any additional services you desire from the provided list, ensuring to specify any requests that may not be listed.
10. Once all fields are completed, ensure the accuracy of your entries, then save your changes, and download, print, or share the form as necessary.

Complete the Billing Option Change Form online today for a smooth transition to your new billing preferences.