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Payment Plan Requests

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Payment Plan Checklist

To qualify for a payment plan, your account balance must meet the following requirements:

The account must be active for:

  1. At least 6 months.
  2. Account balance is over $150.
  3. Requests must be made by account holder or associated customer. An emergency contact will not qualify.

Payment plans will be reviewed for a biweekly or monthly payment plan.

A down payment of 10% up to 50% is required of overdue balance.

Payment plan requests may be denied if previous payment plans have defaulted.

Process:

  1. Complete the payment plan request form.
  2. Once submitted, Water Billing & Collections staff will review your request and reply with approved for payment plan or denied with a reason for the decision.
  3. If the customer cannot complete the application online, please feel free to come by the office at 3523 Liberty Dr, Pearland, TX, 77581.

Payment Plan Request Form

Please correct the fields below:

1
Today's Date
 *
2
Account Number
 *
3
Service Address
 *

Qualifications:

  • The account must be active for:
    • At least six (6) months.
    • Account balance is over $150.
    • Requests must be made by the account holder or associated customer. An emergency contact will not qualify. 
  • Payment plans will be reviewed for a bi-weekly or monthly payment plan.
  • A down payment of 10% up to 50% is required of overdue balance.
  • Payment plan may be denied if previous payment plans have defaulted.

***Please read and initial the following statements***

4
I understand that submission of this request does not automatically qualify my account for a payment plan.
 *
5
I understand that during the review process of my payment plan request, I am responsible for paying or making payment arrangements regarding the amount due.
 *
6
I understand that responses to payment plan requests may take up to 24–48 business hours. Requests received after business hours or on a City-observed holiday may require more than 48 business hours for a response.
 *
7

I understand that if payment plan is approved and payment plan defaults, assessment of penalties will resume.

 *
8

I understand that if payment plan is approved and payment plan defaults, service disconnection will resume for the account.

 *
9
Customer Name
 *
10
Customer Signature
 *
11
Customer Phone Number
 *
12
Customer Email:
  1. To receive a copy of your submission, please fill out your email address below and submit.