Forms • Fraser, MI • CivicEngage

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Email Water Bill

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Your Information

Account #*

Name:*

Street Number and Name:*

Address Line 2:

City:*

State:*

Zip Code:*

Phone Number:*

Fax Number:

Email Address:*

Preferred Contact Method:*

I understand I am responsible (not the City of Fraser) to ensure that I have received my water bill for payment prior to the due date each month (25th of the month) for payment. Late charges will not be waived.*

I agree

I disagree

It is the residents responsibility to update the water/utility billing department with any changes to their account and or email address through this request tracker form.*

I accept responsibility to notify the city.

I do not accept responibility to notify the city.

Request for duplicate bills will be charged $1.00.*

Agree

Disagree

By clicking "I agree" you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you in the same force and effect as the handwritten signature. *

I AGREE

I DISAGREE

I agree to receive my water bill by email only. I understand I will no longer be receiving a water bill by mail to my physical address on file.*

I agree to receive my water bill by email

I do not agree to receive my water bill only by email.

* indicates required fields.