Use this form to apply for:
Your opportunity to apply for a waiver or exemption is lost after an invoice is referred to collections.
Submit your request by the due date on your invoice.
To fill out the form, you must:
After we receive your request, we will respond within a few business days by email. We may request more information in order to make a determination.
Lack of information will result in a denial of your request for relief. * required field