Utilities Pre-authorized Payment Cancellation Form

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

Utility Roll Number
Example: 3010000000.00

 *
Street Address
 *
Last Name
 *
First Name
 *
Daytime Telephone Number
 *
Email Address
 *
Through submission of this form, I acknowledge that my pre-authorized payment plan for my City of Whitehorse utilities account will be cancelled as of the date of submission. I understand that to reestablish my pre-authorized payment plan I will have to re-enroll.
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code