Late Fee, Interest and Waiver Request

Please complete this form to request a waiver of any late fees, interest and/or fines that have been billed to your account. Assessments are the personal responsibility of the owner; however, extenuating circumstances occur, which will be considered on a case-by-case basis.

Considerations for waiver requests will not be considered more than once per 12 month period. Alliance Bank posts payments within 48 hours of receipt and the received date is the consideration for the due date.

(On time payments are determined by the date received, not the date sent)

There are several payment options if you feel postal service is delayed and want a more timely option of payment including online and direct withdrawal methods. Please visit https://naccchoa.org/payment-methods

Please include and attach any pertinent information and/or supporting documentation. All determinations will be final by the Board of Trustees.

Only completed waiver requests will be considered.

Step 1

Complete the Waiver Request.

Type, Save & Attach below

Click for Waiver Request

Step 2

Email the completed document to Accounts Receivable by attaching it to the email link below.

Click to Send Waiver Request