Request a payment arrangement

Is the balance due on your water bill more than you can pay right now?

IRWD offers a variety of payment arrangements to help. Complete the form below to request the option that is right for you.

*Mandatory fields are indicated with an asterisk (*)

Name as it appears on IRWD water bill*(*)

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IRWD account number*(*)

Please Enter only 10 digits

Service address*(*)

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City

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State

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Zip Code

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Payment terms*(*)

Choose one option6 months12 monthsI need a more customized plan Invalid Input

Email*(*)

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Primary phone number*(*)

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Secondary phone number

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Please confirm that your information is correct below before clicking “Submit.” Inaccurate information may cause your request to be delayed or denied.

Terms* (*)

I confirm that all information submitted with this request is correct. Invalid Input

(*)

I acknowledge that filling out this form does not guarantee approval of my request. Invalid Input

(*)

I understand that failure to meet the terms of any approved payment plan will result in immediate delinquency status on my account. Invalid Input

Click all three above.

Account holder name*(*)

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Date*(*)

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(*)

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Submit