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Get the free Utility Payment Enrollment/Change Form

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This form is for enrolling or changing enrollment in the E-Z Pay Plan for utility billing with the City of Somersworth, allowing for automatic withdrawal from a banking account.
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How to fill out utility payment enrollmentchange form

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How to fill out Utility Payment Enrollment/Change Form

01
Obtain the Utility Payment Enrollment/Change Form from your utility provider's website or office.
02
Fill out your personal information, including name, address, and contact details.
03
Provide your utility account number to ensure proper processing.
04
Indicate whether you are enrolling in automatic payments or making changes to your existing enrollment.
05
If enrolling, select your preferred payment method, such as bank account or credit card.
06
Read and understand the terms and conditions associated with the enrollment/change.
07
Sign and date the form to confirm your request.
08
Submit the completed form as instructed, either online, via mail, or in person.

Who needs Utility Payment Enrollment/Change Form?

01
Anyone who wants to set up automatic payments for their utility bills.
02
Customers looking to change their existing payment method for utility services.
03
New customers who are starting service and need to enroll for automatic payments.
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The Utility Payment Enrollment/Change Form is a document used to enroll or make changes to a utility payment plan, allowing customers to manage their utility bills effectively.
Customers who wish to set up or modify their utility payment arrangements are required to file the Utility Payment Enrollment/Change Form.
To fill out the form, provide your account information, select the type of enrollment or changes you wish to make, and sign and date the document as required.
The purpose of the Utility Payment Enrollment/Change Form is to facilitate the enrollment in or modification of payment plans for utility services.
The form typically requires account holder's name, account number, service address, contact information, and the specific changes or enrollments being requested.
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