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Utility Bill Autopay

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Did you know one out of every three utility payments are made using Autopay? Please complete this Autopay form (aka direct debit) if you'd like to pay your City water/sewer utility bill via automatic withdrawal from your checking or savings account. Users of this payment method will enjoy the convenience of having the balance due on their City utility account paid automatically on the 20th of each month. Autopay

In addition to being convenient, payment of water bills through Autopay reaps the following benefits for customers:

NO fees charged for this service.
NO need to worry about lost utility bill.
NO need to write a check each month.
NO late fees as bills are always paid on time.
NO fear of disconnection for overlooked payment.
STILL receive a copy of bill with usage and amount due indicated that will be debited from bank account on the 20^th of the month.

Please refer to this example when completing the form below. If you have questions related to the Autopay program, please feel free to call 309-444-8292.

Check Routing and Account Example

* Denotes a required field

Contact Information

First & Last Name (as shown on bill)*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Email*

Utility Billing Information

Utility Billing Account Number (12 numbers no dash)*

Re-enter Utility Billing Account Number To Ensure Accuracy*

Bank Name*

Bank Routing Number (9 digits on bottom left of check)*

Re-enter Bank Routing Number To Ensure Accuracy*

Bank Account Type (checking or savings)*

Please Do Not Complete The Following Field

Bank Account Number*

Re-enter Bank Account Number To Ensure Accuracy*

Authorization*

By checking this box and submitting this request form, I authorize the City of Washington to use electronic debit withdrawal for the monthly payment of my water/sewer bill.

1.) I understand that Autopay (direct debit withdrawal) is a continuous plan. I understand that this will remain in effect for as long as I have an active water/sewer account in the City of Washington water district. 2.) It is my complete understanding that if I elect to terminate or change this authorization in any way, I must give the City of Washington a 15-day written notice. I understand that I must provide a forwarding address for a final billing. 3.) Should my bank or financial institution for any reason not honor any draft, I realize that I am still responsible for that payment plus a $25.00 fee for NSF, Closed Account, or any other reason the utility billing draft is returned and not paid.

Verification

Utility Bill Autopay

Contact Information

Utility Billing Information

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