UTILITY BILL
REMIT PORTION
UTILITY BILL
Customer Copy
Keep this portion for your records
Amount DueService Address Bill Number Delinquent DateAccount # - Customer # -
M MANUAL READ
O OTHER READ
P POST CARD READ
R REMOTE READ
S SWAPPED METER
T TELEPHONE READ
U UPDATED BILL
V VAN DATA PACK
W WATER COMPANY
" Detach and return the portion below with your payment " Delinquent DateBill DateBill Number
Account Number - Customr Number
Current
Meter ReadingMeter Previous
Read Date
Current
Read Date
Previous
Meter Reading
Read
Code Charge
DUE UPON RECEIPT
Read
Days
Please write your Account and Customer number on your
check, and enclose this portion of bill with your payment.
HAYWARD WATER SYSTEM
P.O. BOX 6004
HAYWARD, CA 94540
(510) 583-4600 TDD (510) 247-3340
PAY BILL ONLINE AT: http://www.hayward-ca.gov/hss
Charge Description Units
(100 cu. ft.)
HAYWARD WATER SYSTEM
P.O. BOX 6004
HAYWARD, CA 94540
(510) 583-4600 TDD (510) 247-3340
PAY BILL ONLINE AT:
http://www.hayward-ca.gov/hss
Total Current Billing
Previous Balance
Adjustments
Deposit Applied
Less Payments Received
Total Amount Due
READ
CODE:
A
E
F
M
=
=
=
=
Actual
Estimate
Final
Manual
Gallons (Units X 748) Read Days
Gallons (Units X 748)
Avg. Gal. Per Day
Read Days Avg. Gal. Per Day
Current Usage
Units
Prior Year Usage
Units
3 632244 36
3 2244 62 36
00006042022202212002600000659177
2212002 09/06/2021 0001112131 - 0005678910 09/23/2021
72.18 586.99
.00
.00
.00
$659.17
NEW FEE-FREE PAYMENT KIOSKS AT CITY HALL! PAY YOUR BILL 24/7 WITH CASH, CHECK, OR CARD FOR FREE AT OUR OUTDOOR PAYMENT KIOSK. LOCATED ON THE WATKINS SIDE OF CITY HALL AT 777 B ST. IN DOWNTOWN HAYWARD.
ADDITIONAL KIOSK LOCATED INSIDE. CALL 510-583-4600 WITH QUESTIONS. 09/23/2021
001112131 0005678910 $659.17221200212345 SAMPLE AVE
JANE SAMPLE
12345 SAMPLE AVE.
HAYWARD, CA 94541-2927
WATER USAGE 06/28/21 08/30/21 637077 115 118 A
TIER 1: 1-8 @ 5.80/UNIT 3 17.40
METER SERVICE 32.00
SEWER 16.78
EXCISE TAX 6.00
Customer Name
Jane Sample
Service Address
12345 Sample Ave.
ATTACHMENT III
CURRENT BILL TEMPLATE
FOR REFERENCE
Understanding Your Bill
AUTOMATIC PAYMENTS AUTHORIZATION FORM
Payment Methods
Elderly or Disabled Customers:
If you desire third party notification for all account notices, please submit a letter from the third party accepting responsibility. Verification of your disability or age is necessary. Please call (510) 583-4600 for more information.
Charges Are Due Upon Bill Receipt:
Charges on your bill are due and payable now. The charges will be delinquent if not paid by the delinquent date printed on the reverse side of this bill, and at that time a $5 late fee will be assessed. Delinquent accounts may result in the discontinuance of service and incur reconnection fees.
Also, in compliance with HMC §11-3, delinquent charges may be added as an assessment to the property owner’s Alameda County property tax bill, at which time additional fees and interest may be assessed. If you have any questions about this bill, please contact the Revenue Department at (510) 583-4600 for an explanation.
Stopping Service / Person Responsible for Payment:
The party that initially signed up for service is responsible for the payment of charges until we are contacted to discontinue service or a new party requests to establish a new account. We are unable to backdate account closure dates, and per Hayward Municipal Code, it is the sole responsibility of the account holder to cancel service and close the account. Contact our office at least 48 hours prior to the date you wish to stop service at (510) 583-4600, or email your name, account number, forwarding address, phone number, and the requested service stop date to [email protected] .
Note – we do not complete account shut-offs on Fridays, weekends, or holidays. Also, you will receive a final bill.
Automatic Payment – sign up for FEE-FREE automatic payments from your checking account! Visit www.hayward-ca.gov/EFTform or fill out the form down below and submit along with your check. Please allow one billing period for automatic payments to take effect.
Credit Card / Debit Card – pay with your credit or debit card online at www.hayward-ca.gov/HSS, or over the phone by calling 1-855-385-9416. A convenience fee will apply.
Bank Account - PAY FOR FREE directly from your bank account via Paystand by visiting www.hayward-ca.gov/HSS for more information.
In Person – visit the Cashier in the Revenue Division, Hayward City Hall during the office hours listed above to pay your bill in person.
By Mail – to: Hayward Water System
P.O. Box 6004
Hayward, CA 94540
If mailing your payment, to avoid the imposition of late fees and interest, allow for sufficient time for your payment to reach the City and be processed before your Delinquent Date. Postmarks are not accepted.
Night Drop – A drop box is located on the east side of the City Hall building facing Watkins Street. Check or money order only.
Signature: _______________________________________________ Date: _________________
1. Complete this form with your Financial Institution information and signature. Your signature confirms that you have read and understood the terms & conditions stated at www.hayward-ca.gov/EFTform.
2. For security purposes, please ensure that the name on the check matches the account holder’s name. Submitted check must contain the same information as given below.
3. Mail this completed form in with your CHECK payment or bring it into the office at the address listed above or drop it off in our Night Drop Box. Please allow one billing period for automatic payments to take effect. Your bill will be noted, "EFT is set-up. Payments are deducted the Friday prior to the Delinquent Date." If this is not on your bill, EFT has not been set up. Continue to make payments as normal until you see this notice.
Hayward Water System, 777 B Street, Hayward, CA 94541
Office hours are: Monday – Thursday 8:00 am – 6:00 pm; Friday 8:00 am – 12:00pm Customer Service (510) 583-4600
After Hours Emergencies: (510) 293-7000
TDD: (510) 247-3340
Get your bill by email! Email [email protected] or enter your email address here:
Description of Charges:
1. Water Usage Charges – based upon the amount of water used during the billing cycle and the property’s location inside or outside of incorporated Hayward. (1 Unit = 100 Cubic Feet = 748 Gallons). Your charges are also based on a tier structure with units costing more as you use more water.
2. Meter Service Charge – this assists in recovering the costs of system maintenance, reading meters, and servicing and billing customer accounts.
The charge is a flat-rate based on the size of the meter.
3. Sewer Charge – reflects the costs of sewer system maintenance and waste treatment. Sewer rates for residential customers are a Standard bi-monthly rate that is discounted when water usage is between 0-4 units (Lifeline Rate) and 5-8 units (Economy Rate).
4. Other Charges – charges that could appear on your bill include, but are not limited to: service initiation, deposit, service restoration, and collection notification.
5. Emergency Services Facilities Tax – this excise tax is a general tax levied on all residences in the City of Hayward. For residences receiving individual service through the Hayward Water System, the tax rate is $36 per year, billed $6 bi-monthly on your utility bill. For information or questions, email [email protected]
or visit www.hayward-ca.gov/esft.
6. Returned Check Fee – A minimum fee of $25 is charged if a check is returned from the bank for any reason. Additional collection charges may also apply.
Low Income Discount:
A low income discount is available if total gross family income falls below the maximum allowable income limit. For an application and to see income limits, please call (510) 583-4600, or visit:
www.hayward-ca.gov/lowincomeapplication .
www.hayward-ca.gov
@cityofhayward
Pay-By-Phone: 1-855-385-9416
($500 max payment per call)
Bank Name:
Routing Number (9 digits only):
Account Number:
ATTACHMENT III
CURRENT BILL TEMPLATE
FOR REFERENCE