1.    Please complete this form to request a waiver of any late fees, interest and/or fines that have been billed to your account. Assessments are the personal responsibility of the owner; however, extenuating circumstances occur, which will be considered on a case-by-case basis.

2.    Justifications for waiver requests that will not be considered include claims of mail receipt by the postal service or dates other than the date a payment was received compared to the due date.

3.    Please include/attach any pertinent information and/or supporting documentation. All determinations will be final and waivers will not be granted more than once within a 12 month period.

Waiver Request

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