Utility Extension Form

Deadlines are always 9:00 AM. Do not set your extension for a Friday or it will not be approved.

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

Name *

Address *

Email *

Contact Number

Date Extended to: *

You cannot extend past the due date of the next bill. You cannot extend to a Friday. All Extension deadlines are 9:00 AM.

Payment Plan *

If you need to break up your amount due into more than one payment, please describe exact dates and amounts.

Amount Due *

If you do not know your amount due, call City Hall and they can look it up for you, 503-749-2030.

Account Number

If you do not know your account number, this can be left blank. City Hall staff can look up your account based on your address.

Signature *

By typing my name I agree to the following statement: IF NOT PAID AS STATED ABOVE, WATER WILL BE SHUT OFF. THIS FORM SERVES AS YOUR NEW MINIMUM 72 HOUR SHUTOFF NOTICE. AN ADDITIONAL $30.00 RECONNECT FEE WILL BE CHARGED TO RESUME SERVICE, IF SHUT OFF FOR NON-PAYMENT. Deadlines are always 9:00 AM. Do not set your extension for a Friday or it will not be approved.

Leave this field blank

Utility Extension Form

Contact Information