REQUEST FOR LATE FEE WAIVER
Per West University’s City Ordinance: Chapter 86 – UTILITIES / ARTILCE II. ADMINISTRATION AND ENFORCEMENT /
Sec. 86-34. – Billing, payment, nonpayment.
(b) Late charge/waiver of late charge. If a bill becomes delinquent, there is a one-time additional charge of ten percent of the
lesser of the amount due or the amount last billed. With the city manager's and finance director's approval, the late charge
may be waived under the following circumstances:
(1) The user has submitted a written request for a waiver of the late charge within 30 days of the delinquent notice; and
(2) The user has not received a waiver for a late charge within the preceding 24-month period
Resident Name (as it shows on bill): ____________________________________________________________________
Resident Service Address: ____________________________________________________________________________
Utility Account No: ______________________ Email: _____________________________ Phone #: _________________
Bill Date of Late Charge Being Disputed: _________________________________________________________________
(Request must be within 30 days of charge)
Amount of Late Fee: _________________________________________________________________________________
Reason for the Request: ______________________________________________________________________________
__________________________________________________________________________________________________
Signature: _______________________________________________ Date: ________________________
CONTACT US:
Utility Billing: 713.662.5824
billinghelp@westutx.gov
OFFICE USE ONLY: Date Received: _________________________ Employee: ___________________________________________
Account Starting Date: _______________________________ Account Late Charge History: _________________________________
Signature: _____________________________________________________________ Date: ________________________________
(Dave Beach, City Manager)
Signature: _____________________________________________________________ Date: ________________________________
(Katherine DuBose, Finance Director)
Revised 05.12.20
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