Payment Deferral Request Form

To Residential Consumers of the South Farmingdale Water District:

As per a recent amendment to Public Service Law, residential consumers who have experienced financial hardship as a result of the COVID-19 pandemic, may apply for payment deferrals, without incurring late fees or penalties.

Accordingly, the Board of Water Commissioners of the South Farmingdale Water District (SFWD) are offering residential consumers the opportunity to apply for water bill payment deferrals, for as long as the amendment is in effect.

Please use one of the following browsers to access our website when submitting the payment deferral form. For your convenience, we’ve provided links to download the browsers if you choose to do so.

This online form to be completed by the water service address property owner or authorized representative:

As the owner of the property listed below (or authorized representative), I attest that I have experienced financial hardship as a result of the COVID-19 pandemic. As such, I am requesting enrollment in the SFWD Payment Deferral Program.

I acknowledge that I am required to pay each bill in full. I understand that any unpaid balance remaining after the deferral program has ended, may be submitted to the Town Board (per section 215, subdivision 12 of the Town Law of the State of New York) and added to my next scheduled tax bill.

If my eligibility for this program ceases, I will notify the South Farmingdale Water District in writing, immediately.

Check one: OwnerAuthorized Representative

Once you provide your consent and submit this form, your information will be sent to one of our office administrators for review. Acknowledgment of your deferral request will be sent to you via email.

Consent:
I agree to the statement above.

* required field

If an error message appears, please press the “Send” button again, and the process should be successful. If it fails, please advise us of the situation at Info@SFWater.com   We will reply promptly and apologize for any inconvenience.