Exeter, CA · Tulare County
Utility Direct Payment Authorization Form
This form lets Exeter utility customers authorize the city to deduct full utility bill payments from a checking account.
What this form is
Use this form to enroll in the City of Exeter’s Utility Direct Payment Plan and authorize deductions for the full amount of your utility bill. It asks for your name, utility account number, service address, phone number, bank details, and signature, and requires a voided check. The form says an authorization received after the 10th of the month takes effect in the next billing cycle.
Who needs it
Exeter utility customers who want the city to deduct full utility bill payments from a checking account should complete this form.
How to submit it
Mail it to City of Exeter, Attn: Finance Dept, PO Box 237, Exeter, CA 93221, or drop it off at City of Exeter, Attn: Finance Dept, 137 N. F St, Exeter, CA 93221.
About notarization
No notary is required for this document; the signer just signs and dates the authorization form.
How to submit this form
- 1
Download the Form
Download the Utility Direct Payment Authorization Form.
- 2
Complete the Form
Provide your utility account and service details, bank information, and signature and date.
- 3
Attach a Voided Check
Include a voided check for the checking account listed on the form.
- 4
Submit to the City
Mail or drop off the completed form and voided check at one of the listed Finance Department locations.
Frequently asked questions
- Do I need a notary for the Utility Direct Payment Authorization Form?
- No. The signer just signs and dates this form; it does not require notarization.
- How do I submit the Utility Direct Payment Authorization Form?
- Mail it to the Finance Department at PO Box 237 or drop it off at 137 N. F St, Exeter, CA 93221.
- What should I attach to the form?
- The form asks you to attach a voided check for the checking account you want payments deducted from.
- When does the authorization take effect?
- The form states that an ACH form received after the 10th of the month will take effect in the next billing cycle.
