Barrow County, GA · Barrow County
Debit Authorization
Barrow County Water Resources customers use this form to authorize monthly utility payment debits from a bank account.
At a glance
- Issued by
- City of Barrow County · Barrow County, Barrow County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- barrowga.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form authorizes Barrow County Water Resources to debit utility payments from the bank account provided. It asks for the service address, customer and financial institution details, bank routing and account numbers, account type, and the month to begin drafts. Drafts are scheduled for the 20th of each month, and the form requests an attached voided check.
Who needs it
Barrow County Water Resources customers who want utility payments drafted from a checking or savings account need to complete this form.
How to submit it
The form lists Water Resources at 59 Lee Street, Winder, GA 30680, phone (770) 307-3014, and [email protected]. Attach a voided check.
About notarization
This document is signed and dated without a notary; it requests a voided check, but does not say that the check or any related step must be notarized.
How to submit this form
- 1
Download the Form
Download the Debit Authorization PDF.
- 2
Complete the Form
Provide the requested service, customer, and bank account information, then enter the month you want drafts to start.
- 3
Attach a Voided Check
Attach a voided check as requested on the form.
- 4
Submit to Water Resources
Use the Water Resources address or email listed on the form to submit it.
Frequently asked questions
- Do I need a notary for the Debit Authorization?
- No. The form has a signature and date field but no notary block. It requests an attached voided check and does not require a notarized attachment.
- How do I submit the Debit Authorization?
- The form lists Barrow County Water Resources at 59 Lee Street, Winder, GA 30680, and [email protected]. It asks you to attach a voided check.
- What information does the Debit Authorization request?
- It asks for your service address, name, financial institution, bank routing and account numbers, account type, signature, date, and the month you want drafts to start.
- When are utility payment drafts scheduled?
- The form states that drafts take place on the 20th of each month.