Rohnert Park, CA · Sonoma County
Utility Direct Payment Authorization Agreement – ACH
Rohnert Park utility customers use this agreement to authorize automatic bank payments for water and sewer bills through ACH.
What this form is
This agreement lets a utility customer authorize Rohnert Park to debit a checking or savings account for the current water and sewer bill every other month. The form asks for bank and account details, the city account number, service address, signature, and date. Include a voided check; the current bill amount must be received and posted to the account before service is activated.
Who needs it
A Rohnert Park water and sewer customer who wants the city to collect bill payments automatically from a checking or savings account should complete this agreement.
How to submit it
Return the form with a voided check to the Finance Department, 130 Avram Avenue, Rohnert Park, CA 94928.
About notarization
This document is signed without a notary; the signer signs and dates the agreement and returns it with a voided check.
How to submit this form
- 1
Download The Agreement
Download the Rohnert Park Utility Direct Payment Authorization Agreement – ACH PDF.
- 2
Complete The Form
Enter the bank name, account number and type, city account number, service address, and date; then sign the agreement.
- 3
Gather The Attachment
Include a voided check with the completed agreement.
- 4
Submit To The City
Return the form and voided check to the Finance Department at 130 Avram Avenue, Rohnert Park, CA 94928.
Frequently asked questions
- What does the Rohnert Park ACH agreement authorize?
- It authorizes the city to debit a checking or savings account for the current water and sewer bill every other month.
- What should I include with the agreement?
- Return the completed and signed agreement with a voided check. The current bill amount must be received and posted to your account before ACH service is activated.
- Do I need a notary for the Rohnert Park ACH agreement?
- No. The document is signed without a notary; the signer signs and dates the agreement and returns it with a voided check.
- How do I submit the Rohnert Park ACH agreement?
- Send the form with a voided check to the Finance Department at 130 Avram Avenue, Rohnert Park, CA 94928.
Need something notarized?
This Utility Direct Payment Authorization Agreement – ACH doesn’t need a notary — but if you have another Rohnert Park form that does, a commissioned online notary can help.