Waleska, GA · Cherokee County
Draft Payment Plan Authorization Agreement for Pre-Authorized Payments
Waleska utility customers use this agreement to authorize automatic monthly payments from a bank account for utility bills that may include water and garbage charges.
What this form is
This agreement authorizes the City of Waleska to debit a customer’s bank account for monthly utility bills, including water and garbage charges if applicable. It asks for customer and service information, water account and banking details, and a signature and date. The form says customers should include a canceled check or savings voucher; the authorization continues until the customer notifies the city to stop it.
Who needs it
A City of Waleska utility customer who wants monthly utility bills automatically debited from a bank account should complete this agreement.
How to submit it
Mail the form to or drop it off at the City of Waleska office, 8891 Fincher Rd, Waleska, GA 30183. Include a canceled check or savings voucher.
About notarization
This document is signed and dated without a notary; it asks for a canceled check or savings voucher, and the signer just signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the City of Waleska pre-authorized payment agreement.
- 2
Complete The Form
Enter customer, service, water account, and banking information, then sign and date the authorization.
- 3
Gather The Attachment
Include a canceled check or savings voucher, as requested on the form.
- 4
Submit To The City
Mail the form to or drop it off at 8891 Fincher Rd, Waleska, GA 30183.
Frequently asked questions
- Do I need a notary for the pre-authorized payment agreement?
- No. The agreement has signature and date lines but no notary block. Include a canceled check or savings voucher as requested; the signer just signs and dates the form.
- How do I submit the payment authorization agreement?
- Mail the completed form to or drop it off at the City of Waleska office, 8891 Fincher Rd, Waleska, GA 30183. Include a canceled check or savings voucher.
- What information does the agreement ask for?
- It asks for customer contact and address details, a water account number, Social Security number, financial institution and account information, and the customer’s signature and date.
- What payments does the authorization cover?
- The form authorizes automatic monthly debits for utility bills, including water and garbage charges if applicable. It says the city will continue sending a monthly bill.
Need something notarized?
This Draft Payment Plan Authorization Agreement for Pre-Authorized Payments doesn’t need a notary — but if you have another Waleska form that does, a commissioned online notary can help.