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  1. Request Utility Billing Changes
    Form: Cancel Auto-Pay
  2. Customer Information
  3. account number listed on your water bill
  4. Verification*

    By submitting this form, I verify the following:
    I have read and agree to the Terms and Conditions
    I am the responsible party for the account listed above.
    I wish to cancel automatic payments.

    For security reasons, please do not share bank account information online or send via email.
  5. Leave This Blank:

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