Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Utility Hardship Payment Plan Request

  1. Utility Hardship Payment Plan Request

    If you are facing the financial effects of the coronavirus, you may request a payment plan. Please fill out this form and submit it to the City of Fife to fulfill your request.

  2. Please enter the first and last name that appears on your utility bill.

  3. Please enter the account number that appears on your utility bill.

  4. Please enter a phone number where we can contact you. Please use this format: 253-555-5555.

  5. Please enter an email address where we can contact you.

  6. Please enter the service address for your utility account.

  7. I agree to the terms listed here*

    By checking this box, I confirm that I am claiming hardship caused by the response to COVID-19 and have requested a payment plan. I agree to be contacted by City of Fife by phone or email to receive information about my payment plan. I understand that a minimum payment may be required. I agree that failure to keep the arrangement could result in further collection efforts.

  8. Leave This Blank:

  9. This field is not part of the form submission.