Skip to Main Content
Face Coverings Required Inside City Facilities
Read on. . .
How Do I...
Select a Category
Forms accepting CC payments
Motor Vehicle Division
Office of Emergency Management
Parks and Recreation
Police Department Forms
Public Input on 5th Annual Action Plan
Public Works Forms
Strategic Plan Public Input Questions
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
E-Billing Request Form
This form has been modified since it was saved. Please review all fields before submitting.
You will still be subject to late fees, penalty fees, or disconnection of service for non-payment. It is your responsibility to update the Utility Service Division with your e-mail address if it changes.
insert today's date
You can find the account number on the upper right hand corner of your monthly billing statement. Please provide the full account number including the dash.
Account Holders name
Provide the name which is listed on the account.
The e-mail provided will be used to set-up E-billing notification
Acknowledgement and Signature
I understand that I am “opting-in” or choosing to receive electronic statements, which means that I will no longer receive paper statements or paper delinquent notices. I understand that if I do not pay that my account is subject to: late fees, penalty fees, and that service may be disconnected in accordance to the City of Rio Rancho Ordinances. I also understand that I will need to update the Utility Service Division with any changes to my e-mail address.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
Submit and Print
* indicates a required field
Current City Projects
Current Road Work
Fire & Rescue
Parks & Recreation
Pay Water Bill
2017 Strategic Plan
Slideshow Left Arrow
Slideshow Right Arrow