Rainier, WA · Thurston County
Payment Agreement
Rainier customers use this payment agreement to promise payment of a principal amount by an agreed due date and acknowledge possible water-service shutoff.
What this form is
This agreement records a customer's promise to pay the City of Rainier a principal amount by an agreed due date. It asks for customer and account details, service address, principal amount, due date, and signatures. The agreement states that standard late fees apply and that failure to pay by the agreed date may result in water-service termination and a shutoff fee.
Who needs it
A Rainier customer making a promise to pay the City of Rainier for service at a Rainier address may use this agreement.
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 document is signed without a notary; the customer and City of Rainier authorized representative sign and date it.
How to submit this form
- 1
Download The Agreement
Download the City of Rainier Payment Agreement PDF.
- 2
Complete The Agreement
Enter the requested customer, account, service address, principal amount, and due date information.
- 3
Sign And Date
Sign and date the customer section; the form also has a section for an authorized City of Rainier signature.
- 4
Submit To The City
Submit the agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Rainier Payment Agreement?
- No. The agreement is signed without a notary; the customer and City of Rainier authorized representative sign and date it.
- What does the Rainier Payment Agreement cover?
- It records a customer's promise to pay a principal amount by an agreed date and describes late fees, possible water-service termination, and a shutoff fee if payment is late.
- What information does the agreement ask for?
- The agreement asks for the customer's name, account number, phone, email, service address, principal amount, and due date, as well as customer and city representative signatures.
- How do I submit the Rainier Payment Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Payment Agreement doesn’t need a notary — but if you have another Rainier form that does, a commissioned online notary can help.