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Payment Arrangement Form

  1. Arrangement Request - $10 Fee Applies

    All below information is required. Incomplete requests will not be processed. Per Ordinance, ARTICLE 13.02, No account may obtain more than one (1) payment arrangement agreement per quarter, not-to-exceed a total of four (4) payment arrangements per calendar year. Arrangements are not considered finalized without an email confirmation of acceptance from the Utility Billing Department. If you have any questions about the status of a request, please call 972-564-7304 M-F 8AM-5PM.

  2. Utility Account Number

  3. Please provide the ID/DL number on your account to verify your identity.

  4. Request Date

  5. Utility Service Address

  6. Please enter the amount, including arrangement fee, you are requesting to defer.

  7. Payments must be received no more than 7 DAYS after cutoff date, includes weekends.

  8. Provide an email address for to receive your confirmation email.

  9. Leave This Blank:

  10. This field is not part of the form submission.