Elgin, TX · Bastrop County
Extension Request Form
Elgin utility customers use this form to request a payment extension and acknowledge the account terms listed on the request.
What this form is
The form lets an Elgin utility customer request an extension for an account balance and acknowledge the stated payment terms. It asks for the date, account number, service address, primary name, and home phone, along with acknowledgments about penalties, extensions, payment timing, and the balance being paid in full. The customer signs and dates the request.
Who needs it
An Elgin utility customer seeking an extension for an account balance can complete this form and acknowledge its listed payment terms.
How to submit it
Return it to the City of Elgin Utility Billing Department at 310 N Main St, or email it to [email protected].
About notarization
This form is signed without a notary; the customer signs and dates the request on the form.
How to submit this form
- 1
Download the Form
Download the Elgin Extension Request Form PDF.
- 2
Complete the Form
Enter the date, account number, service address, primary name, and home phone, and review the listed payment acknowledgments.
- 3
Sign and Date
Sign and date the request. The form does not list any attachments.
- 4
Submit to the City
Return it to the Utility Billing Department at 310 N Main St, or email it to [email protected].
Frequently asked questions
- What is the Elgin Extension Request Form for?
- It lets a utility customer request an extension for an account balance and acknowledge the payment terms listed on the form.
- What information does the form ask for?
- It asks for the date, account number, service address, primary name, and home phone, plus acknowledgments and the customer's signature and date.
- How do I submit the Elgin Extension Request Form?
- Return it to the City of Elgin Utility Billing Department at 310 N Main St, or email it to [email protected].
- Do I need a notary for the Elgin Extension Request Form?
- No. The customer signs and dates this form without a notary; the document does not list a notarized or sworn attachment.
Need something notarized?
This Extension Request Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.