Request Payment Plan

  

$

For shutoff notices, please call account services: 206-684-5800

Please pay $ within the next 24 hours.

Your remaining balance is $ . Select one of the two options below of how you would like to pay this balance.

Must be after and before (30 days from today).

Must be after 1st payment date and before (30 days from today).

Please confirm that all the information below is accurate. You may print this page for your records. You will also receive an email with this information. Click the submit button to submit your payment plan.

First name:

Last name:

Email:

Account number:

Service address:

Type of notice:

Amount due from notice: $

Amount to be paid immediately:

Amount remaining for payment plan:

Payment plan:

Amount to be paid per payment:

1st payment date:

2nd payment date:

Personal information entered on this form is subject to Washington Public Records Act, and may be subject to disclosure to a third-party requestor. At the City of Seattle, we are committed to protecting your privacy and will ensure that any disclosures are done according to law. To learn more about how this information is managed please see our Privacy Statement.