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Cancel Request Form


  • I hereby request the City of Lincoln cancel my participation in the Automatic Bank Draft (ABD) payment plan.  I no longer wish to use the bank and bank account number above to pay my monthly utility bills.

  • I am aware that this form is for cancellation purposes only.  If I want to change bank and/or bank account numbers, I will need to fill out a new application.

By signing below, I acknowledge it may take up to thirty (30) days to process my cancellation request once received.