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Utility Payment Plan

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APPLICATION FOR UTILITY BILL DEFERRED PAYMENT PLAN

Payment arrangements shall be structured and administered to maximize the successful retirement of past due service amounts owing to the Victorville Water District (“District”) while allowing the customer to retain active water, trash, and / or sewer services.

 

Financially Unable to Pay: The applicant declares that he/she is financially unable to pay for utility services provided by the City of Victorville's Water District within the normal billing cycle.  In order to assist all customers, the District will offer customers one (1) payment plan to allow them an opportunity to eliminate any arrearages that were accrued prior to 01/31/2022.  Additional payment plans that do not meet the qualifications for SB-998 will not be allowed.

 

Notice: Upon receipt of the application, the District will, within five (5) business days: 1) notify the Applicant of the terms of the Deferred Payment Plan; 2) request the Applicant’s signed consent to participate in the Deferred Payment Plan; 3) request additional information from the Applicant (in needed); or 4) notify the Applicant that he/she does not meet the qualifications for a Deferred Payment Plan.

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Account Holder's Name: 
 *
2
Account Number and Customer ID (######-######):
3
Email: 
 *
4
Phone Number:
 *
5
Service Address:
 *
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City:
 *
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State: 
 *
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Zip Code:
 *
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What is your current delinquent balance (this does not include your current balance due)?:
 *
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What amount of your delinquent balance do you need deferred? For example, if your delinquent balance is $350.00 but you can only $150.00, then you would need $200 to be deferred. 
 *
By entering my name below and submitting this application, I understand that a signed agreement with the Victorville Water District will be required before a payment plan is made effective, and until a payment plan is in effect, I am responsible for paying all past due balances to avoid discontinuation of water service.  I also understand that if I do not hear from the Victorville Water District within five (5) business days, it is my responsibility to contact them via phone at (760) 955-5001 or in person at Victorville City Hall, 14343  Civic Drive, Victorville CA 92392.
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Customer's Name:
 *
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