Request for Payment Plan under Hardship Cases

To request a Payment Plan under Hardship Cases, download and submit the attached PDF or fill out the form below.

DOWNLOAD PDF: Request for Payment Plan under Hardship Cases

Date (required)

Name (required)

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Acknowledgment (Signature) Please Select One

I acknowledge that according to District Resolution 2019-11 (District Code 6.08.010, if I am approved for a payment plan and I am delinquent on my current charges for more than 60 days, my water service may be discontinued.

i. Certification of Primary Care Provider

Customer has provided Certification of a Primary Care provider in accordance with Welfare and Institutions Code 14088(A)(1)

ii. Demonstration that the Customer is Unable to Pay with the normal billing cycle.

Customer acknowledges under penalty of perjury, by checking this box and signing this form, that they have a financial inability to pay and they agree to enter into a payment plan. Customer acknowledges that their water service can be turned off if they do not pay their current residential service charged for 60 days or more.

iii. Willingness to Enter into an Amortization Agreement, Alternative Payment Scheduled, or a Plan for Deferred Payments.

Customer acknowledges they are willing to enter into a payment plan not to exceed 12 months.

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Website Accessibility Policy

Oceano Community Services District is fully committed to providing accessible facilities, elements and channels of communication to all members of the public. As part of this commitment, Oceano Community Services District has a policy of providing an accessible website compatible with the Web Content Accessibility Guidelines (WCAG 2.1) and commercial screen reading software. All features of the website are coded to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities. We welcome feedback and can often resolve issues in a timely manner if they arise.

If you need any special assistance or accommodations:

Call us at 805-481-6730

Ongoing Compliance Information

Compliance Officer

Oceano Community Services District has designated a compliance officer for website disability-related accommodations. The compliance officer has received training in website accessibility and updates the site in accordance with those best practices. Contact our accessibility officer to report an issue.

Compliance Procedures and Reports

In addition to testing with users with a wide range of disabilities and coding our website to WCAG standards, Oceano Community Services District regularly scans its website to ensure ongoing compliance, and makes timely changes to any inaccessible changes, if any are found.

Linked Documents and Third Parties

Please note that this site may link out to third-party websites, such as state or federal agencies, that do not have accessible content. This site may also include documents provided by third parties included in our agenda packets, for example. While we cannot control the accessibility of content provided by third parties, we are happy to assist any member of the public with reading and accessing content on our site.

See an opportunity for us to improve? Please contact our accessibility officer or call us at 805-481-6730.

Report a Website Accessibility Issue

We are committed to your ability to access all content, and we will respond to all requests as soon as possible.