Sebastopol, CA · Sonoma County
Water & Sewer Direct Debit Authorization
Sebastopol water and sewer customers use this form to authorize automatic utility bill payments from a checking or savings account.
What this form is
This form authorizes the City of Sebastopol to debit water and sewer bill payments from a customer’s checking or savings account. Customers complete it to start direct debit or provide updated bank information; the form says a new authorization is required when bank accounts change. It asks for customer and service details, utility account number, phone number, bank routing and account numbers, and a signature and date.
Who needs it
Sebastopol water and sewer customers who want automatic bill payments or need to update their bank account information should complete this form.
How to submit it
Attach a voided check and submit the form to the Administrative Services Department in person or by mail. You may also fax it to 707.823.1135 or email it with a copy of the voided check to [email protected].
About notarization
This document is signed without a notary; the signer signs and dates the authorization and attaches a voided check.
How to submit this form
- 1
Download The Form
Download the Water & Sewer Direct Debit Authorization.
- 2
Complete The Form
Print clearly and provide your customer, service, utility account, phone, and bank account information; then sign and date it.
- 3
Attach A Voided Check
Include a voided check with the authorization; the form says submissions without one will not be accepted.
- 4
Submit To The City
Deliver or mail it to the Administrative Services Department, or fax or email it with a copy of the voided check.
Frequently asked questions
- Do I need a notary for the Water & Sewer Direct Debit Authorization?
- No. The form is signed and dated without a notary; attach a voided check with the authorization.
- How do I submit the direct debit authorization?
- Submit it in person or by mail to the Administrative Services Department, or fax or email it with a copy of a voided check.
- What should I attach to the form?
- Attach a voided check. The form says authorizations without a voided check will not be accepted.
- What information does the form ask for?
- It asks for your name, service address, utility billing account number, phone number, bank routing and account numbers, signature, and date.