Whitesburg, GA · Carroll County
Bank Draft Authorization Form Water Department
Water customers use this form to authorize the City of Whitesburg Water Department to draft bank payments for water bills and charges.
What this form is
This form authorizes the City of Whitesburg Water Department to debit a bank account for water bills and charges. It asks for the water account and service address, customer contact and identification details, bank and account information, and a customer signature and date. The form states that drafts occur on the 15th day of the bill’s due date and that authorization continues until written termination notice is received.
Who needs it
Water customers who want the City of Whitesburg Water Department to debit their bank account for water bills and charges should complete 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 water customer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Bank Draft Authorization Form Water Department PDF.
- 2
Complete The Form
Enter the requested water account, customer, and bank account information.
- 3
Sign And Date
Sign and date the form as the water customer.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Whitesburg bank draft authorization form do?
- It authorizes the City of Whitesburg Water Department to debit the customer’s bank account for water bills and charges.
- What information does the form ask for?
- It requests water account and service address details, customer contact and identification information, bank account information, and the customer’s signature and date.
- Do I need a notary for the bank draft authorization form?
- No. This document is signed without a notary; the water customer just signs and dates the form.
- 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 Water Department doesn’t need a notary — but if you have another Whitesburg form that does, a commissioned online notary can help.