Special Assessment Letter

Please fill out the fields below to begin the Special Assessment Letter process. Your submission will be sent directly to City staff members to begin the review process. If you submit this online form, you do not need to submit a paper copy of the form. 

There is a $10.00 fee that can be paid with cash or card at City Hall for the process to be complete.  Online payment is also available by clicking here. (Click on Quick Pay)

A PDF version of this form is also available to download on this page.  NOTE: if completing the PDF version, it is your responsibility to contact the Waupun Utilities at 920-324-7920 for costs accrued against this property (sanitary sewer/lateral, water main, delinquent utilities, and electric bills)

Date:
If applicable
Email Address or Fax Number Preferred