Village Services Paperless Bill

Cancellation Form

Please cancel paperless billing of my Village Services Bill and return my account to mailing a paper bill via US Postal Service.

Please note changes must be received before the 25^th of the month. If this form is completed after the 25^th of the month the bill will go to the current email on file.

Complete the online form below.

Water Account #

Verify Email

Daytime Phone Number

Authorization Terms:

I hereby authorize the Village of Glen Ellyn to cancel my participation in paperless billing. This authorization will remain in effect until written notice of termination or modification is given to the Village of Glen Ellyn. In the event that my email address changes, I understand that I am responsible for notifying the Village in a timely manner. Changes must be received before the 25^th of each month. I understand it is my sole responsibility to ensure that my information is accurate. I understand that in the event that I do not receive notification of my paperless bill, it is my responsibility to log into my account online to check on my paperless bill and account balance(s) to ensure my account is paid on time. I also understand it is my sole responsibility to pay my Village Services bill on-time to avoid late fees, collection activity or disconnection of service, regardless of whether I received the paperless notification.

Authorize (Check if Yes)

I authorize the Village of Glen Ellyn to cancel my Village Services Bill in paperless billing.