Section 1 of 1 in this document
City Fee Deadline Extension For Federal Government Employees Affected by Government Shutdown
Requester Contact Information
Full Name
First Name
*
Last Name
Phone Number
Email
*
Please check all that apply
Water Bill
Tax Payments
Permits
Other
If you selected Other, please explain
Please upload an image of your Federal Employee ID / Federal Paycheck for employment verification
Click Here to Upload
For any questions or concerns, please contact the City's Finance Manager,
Candice Giles
.
Sign Here
Sign Here
First Name
Last Name
Email
Choose how to sign
Draw
Type
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
disregard this