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Ezpay Change/Stop Form

Please fill out and submit this form if you are changing banks and/or bank accounts, or are requesting to stop and remove ezpay from your utility account. Requests will be processed in the order they are received and could take up to 2 weeks to be completed. If you provided an email address you will receive an email confirming completion of your request. If you have any questions please contact us via phone at 574-258-1630 or via email at mubilling@mishawaka.in.gov.

First Name:*

Last Name:*

MU Account Number:*

Phone Number*

Email*

Would you like to receive your bill via email?*

Yes No

I Need to:*

Please attach your updated voided check:

Date:*

Signature: