Nashville, GA · Berrien County

No notary required

Bank Draft Authorization Form

Nashville utility customers use this form to authorize monthly bank drafts for paying their utility bills.

What this form is

This form authorizes the City of Nashville to draft a utility bill payment from the customer’s bank account each month. It asks for financial institution and account details, the name and signature of the authorized person, and the utility account name and number. The form says to attach a copy of a check; utility bills are drafted around the 10th of each month.

Who needs it

Nashville utility customers who want the city to draft their monthly utility bill payment from a bank account need this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer provides an authorized signature and attaches a copy of a check.

How to submit this form

  1. 1

    Download The Form

    Download the Bank Draft Authorization Form.

  2. 2

    Complete The Form

    Provide the financial institution, bank account, authorized signer, and utility account information requested.

  3. 3

    Attach A Check Copy

    Make a copy of a check and attach it to the form, as instructed.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Bank Draft Authorization Form do?
It authorizes the City of Nashville to draft the customer’s bank account each month to pay a utility bill.
What information and attachment does the form request?
It requests financial institution and bank account details, an authorized signature, and utility account information. It also says to attach a copy of a check.
Do I need a notary for the Bank Draft Authorization Form?
No. The signer signs and attaches a copy of a check; the form does not require notarization.
How do I submit the Bank Draft Authorization Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Bank Draft Authorization Form doesn’t need a notary — but if you have another Nashville form that does, a commissioned online notary can help.