Cloverdale, CA · Sonoma County
Water/Sewer Direct Debit Authorization
Cloverdale water and sewer customers use this authorization to request monthly automatic bill payments from a checking account.
What this form is
This authorization lets City of Cloverdale water and sewer customers enroll in monthly automatic payment from a checking account. Complete it to start direct debit or submit a new authorization when changing bank accounts; the form explains that account changes must be submitted by the 14th of the month. It asks for customer and service details, a utility account number, phone number, signature, and date.
Who needs it
Cloverdale water and sewer customers who want monthly bills debited from a checking account or need to update their bank account information should complete this form.
How to submit it
Detach and submit it to the Utility Department at City Hall, mail it to City of Cloverdale, Utility Department, PO Box 217, Cloverdale, CA 95425, or fax it with a voided check to 707.894.3451.
About notarization
This document is signed without a notary; the signer dates it and attaches a voided check, with no notarized or sworn attachment described.
How to submit this form
- 1
Download The Form
Download the Water/Sewer Direct Debit Authorization PDF.
- 2
Complete The Customer Section
Print clearly and provide your name, service address, utility billing account number, and phone number.
- 3
Sign And Attach A Voided Check
Sign and date the authorization, then attach a voided check.
- 4
Submit To The Utility Department
Deliver it to City Hall, mail it to PO Box 217, or fax it with the voided check to 707.894.3451.
Frequently asked questions
- Do I need a notary for the Water/Sewer Direct Debit Authorization?
- No. Sign and date the authorization and attach a voided check; the form does not require a notary or describe a notarized attachment.
- How do I submit the Water/Sewer Direct Debit Authorization?
- Submit it in person to the Utility Department at City Hall, mail it to the department's PO Box 217 address, or fax it with a voided check to 707.894.3451.
- What information and attachment does the authorization require?
- Provide your name, service address, utility billing account number, phone number, signature, and date. Attach a voided check.
- When should I submit a new authorization after changing bank accounts?
- The form says to submit a new Direct Debit Authorization by the 14th of the month to help ensure payment is processed using the correct bank account.
Need something notarized?
This Water/Sewer Direct Debit Authorization doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.