UPUD Water Service Disconnection Guidelines
This document provides essential guidelines for Union Public Utility District's notices on disconnection of water service due to non-payment. It outlines important steps for customers to follow to avoid service interruption. Additionally, it includes information on payment arrangements and assistance for qualifying customers.
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How do I fill this out?
To complete this form, gather the necessary information about your water service account, including your name and service address. Ensure that all financial details are accurate and double-check any other required fields. Once filled out, submit the form as directed.

How to fill out the UPUD Water Service Disconnection Guidelines?
1
Identify your water service account details.
2
Fill in personal and financial information clearly.
3
Review the form for accuracy.
4
Submit the form according to instructions provided.
5
Keep a copy for your records.
Who needs the UPUD Water Service Disconnection Guidelines?
1
Residential customers facing service disconnection.
2
Tenants in properties where the landlord has unpaid bills.
3
Customers needing information on alternative payment arrangements.
4
Individuals seeking assistance due to financial hardship.
5
Landlords wanting to understand disconnection procedures.
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What are the instructions for submitting this form?
To submit this form, you can send it via email to UPUD at support@upudwater.org. Alternatively, fax your completed form to (209) 728-3652. You are also welcome to deliver the form in person at our office located at 339 Main St., Murphys, CA, during business hours, Monday through Friday, 8:30 AM to 5:00 PM.
What are the important dates for this form in 2024 and 2025?
Important dates for these forms involve submission deadlines prior to disconnection notices. For 2024, ensure to apply for payment arrangements within the stipulated notice periods. Check back regularly for any updates related to new policies or guidelines.

What is the purpose of this form?
The purpose of this form is to inform customers of potential disconnection of their water service due to non-payment. It provides critical instructions on how customers can prevent service interruptions through timely payments or alternative arrangements. Furthermore, it serves to outline UPUD’s procedures and legal requirements in managing service disconnections.

Tell me about this form and its components and fields line-by-line.

- 1. Customer Name: The full name of the individual responsible for the water service account.
- 2. Customer Address: The address associated with the account where water service is provided.
- 3. Amount of Delinquency: The total overdue amount due for the water service.
- 4. Date of Impending Disconnection: The specific date when service disconnection is scheduled.
- 5. Payment Arrangements: Options available for customers to negotiate payment terms.
What happens if I fail to submit this form?
Failure to submit this form may result in disconnection of water service and additional fees. Customers will lose access to water services until their account is settled. It's crucial to adhere to deadlines stated in the notification guidelines.
- Service Interruption: Failure to submit may lead to immediate disconnection of water service.
- Additional Fees: A reconnection fee and late charges may apply if services are interrupted.
- Legal Actions: Non-payment can also result in legal actions taken by UPUD.
How do I know when to use this form?

- 1. Disconnection Notification: When notified about impending disconnection, this form is essential to address the issue.
- 2. Payment Arrangement Requests: To formalize requests for alternative payment plans, use this form.
- 3. Billing Appeals: In case of discrepancies in billing, this form allows for appeals and reviews.
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What does the form include?
This form includes essential guidelines for disconnection due to non-payment, payment arrangements, and important notifications.
How do I know if I should submit this form?
Submit this form if you have received a notice of impending disconnection of your water service.
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