Cancel / Suspend Bank Draft

Cancel Suspend Bank Draft

Action to be taken:(Required)

Reason for suspension or cancellation:(Required)

If other, please explain:

Name on the Account:(Required)

Daytime Phone Number:(Required)

Email Address:(Required)

CUD Account Number:(Required)

Last 4 digits of Social Security Number:(Required)

Today's Date:(Required)

Effective Date(Required)

THIS REQUEST MUST BE RECEIVED 3 WORKING DAYS PRIOR TO THE BILL DUE DATE By hitting "I Agree", I herby request Conslidated Utility District to suspend/cancel payment to my account.