White Settlement, TX · Tarrant County
Utility Bill Extension Request
White Settlement utility customers use this request to seek an extension on a bill before their disconnection date.
What this form is
This request lets a utility customer ask for an extension on an amount due. It asks for the customer’s name, account number, service address, amount due, original due date, and requested extension due date. The form says extensions are offered only before the disconnection date and limits customers to two per calendar year; not paying by the agreed date may result in disconnection and a $25 service charge.
Who needs it
A White Settlement utility customer seeking more time to pay an amount due before the service disconnection date should complete this request.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This request is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Request
Download the Utility Bill Extension Request.
- 2
Complete The Customer Details
Enter your name, account number, service address, amount due, original due date, and requested extension due date.
- 3
Review The Terms
Review the extension conditions, then sign and date the request.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can request a utility bill extension?
- A utility customer can use this request to seek an extension before the disconnection date. The form states that customers are allowed two extensions per calendar year.
- What information does the request ask for?
- It asks for the customer’s name, account number, service address, amount due, original due date, extension due date, and the customer’s signature and date.
- Do I need a notary for the Utility Bill Extension Request?
- No. This request is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the Utility Bill Extension Request?
- The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Utility Bill Extension Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.