Apply for a Payment Arrangement

Home Form Apply for a Payment Arrangement

Apply for a Payment Arrangement

To qualify for a payment arrangement plan, a payment of 50% of the oldest past due bill will be required before a payment plan can be authorized. District staff will review your application and work with you to split out the past due amount owed into equal amounts over the agreed number of months. You will be required to pay future bills by the due date. This agreement cannot be re-negotiated and no additional arrangements can be made on future charges until this agreement has been fulfilled. All payment agreements are enacted and agreed upon in the English language. If you have questions please contact billing at help@awwd.com or 425-743-4605 (option 2).

If you already have your payment arrangement filled out, you can upload it here.
Drop files here or
Today's Date*
Date Format: MM slash DD slash YYYY
Name on Account*
First Last
Phone*
Email*
How do you prefer to be contacted?*
- Phone
- Email
Account Number*
########-##
Do you rent or own your property?*
- Tenant (Rent)
- Owner
Please note if you are a tenant you will need your landlord’s approval.
Service Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I hereby accept AWWD's offered extended payment plan, above, and understand and agree to the following.*
By checking this box, I agree to the following terms and conditions.
I have been financially impacted by the COVID-19 pandemic and request an extended payment arrangement authorized in AWWD Code Section 9.10.210. I request to pay, on a monthly basis, my outstanding balance not to exceed 12 months.

Monthly payments are due by the due date as selected above. I am responsible for tracking these monthly payments, no separate statement or reminders will be sent for this payment plan.

The outstanding balance above may not include all past due amounts and may be adjusted.

Monthly payments under this agreement are in addition to future regularly accrued utility charges for the account. All subsequent billing are payable when due.

There are no reminder calls or notices sent for future payments pertaining to this arrangment. Failure to pay on the agreed date of each month will result in immediate loss of service, without any further notice. Payment in full, plus all penalty charges ($75.00) will be required to restore service and may take up to three days.

If I fail to timely complete this payment schedule. I understand that I will be ineligible for future arrangements for 18 months.

I (Property Owner) agree to the terms of this arrangement.
Total Past Due*
If you are uncertain of the total past due, please contact our utility billing office at 425-787-0220 or email us at help@awwd.com to get an updated balance.
Choose your due date:*
This will be the date your payments are due ach month to pay off your past due balance.
How many months do you prefer your payment to be spread out over?*
The maximum number of months you can spread repayment of your total past due is 12 months.
Amount you must pay each month to pay off your past due.*
Price: $0.00
This is the total amount you must pay each month in order to meet the payment arrangement agreement. Example, if your total outstanding bill is $1,200 and you select 12 months to repay, then your total amount due each month would be $100.
Comments
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Click here for information on our new Leak Credit Adjustment Policy effective July 1, 2021

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