Payment Deferral Request Form

  • To Residential Consumers of the West Hempstead 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 West Hempstead Water District is offering residential consumers the opportunity to apply for water bill payment deferrals. Once approved, payments will be deferred until the next quarterly bill due date.
    This online form to be completed by the water service address property owner or authorized representative:
  • Date Format: MM slash DD slash YYYY
  • 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.

  • * Required Field