What should I attach to the form?

The form instructs the signer to attach a voided check.

How do I submit the Garbage Fee Bankdraft Authorization Form?

Return the completed form with a voided check to Dooly County Commissioners, 113 N. Third Street, Room #1, Vienna, GA 31092.

Do I need a notary for the Garbage Fee Bankdraft Authorization Form?

No. The form has a signature and date line but no notary block. Attach a voided check; the signer just signs and dates the authorization.

Dooly County, GA · Dooly County

No notary required

Garbage Fee Bankdraft Authorization Form

Dooly County residents use this form to authorize the County Commissioners to debit a checking account for garbage fees.

At a glance

Issued by: City of Dooly County · Dooly County, Dooly County, Georgia
Notarization: Not required: file this form without a notary.
Official source: doolycountyga.com
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form authorizes the Dooly County Commissioners to make entries to the signer’s checking account for garbage fees and correct transactions credited in error. It asks for the debit amount, garbage account number, financial institution and account details, and the signer’s name, signature, date, and mailing address. The form says the authorization remains effective until canceled in writing.

Who needs it

A person who wants to authorize the Dooly County Commissioners to debit a checking account for garbage fees should complete this form.

How to submit it

Attach a voided check and return the form to Dooly County Commissioners, 113 N. Third Street, Room #1, Vienna, GA 31092. The form also lists 229-268-4228.

About notarization

This form is signed and dated without a notary; attach a voided check, and the signer just signs and dates the authorization.

How to submit this form

1
Download the Form
Download the Garbage Fee Bankdraft Authorization Form.
2
Complete the Form
Enter the debit amount, garbage account number, financial institution and account details, and your name and mailing address; then sign and date it.
3
Gather the Attachment
Attach a voided check as instructed on the form.
4
Return It to the County
Return the form and voided check to Dooly County Commissioners, 113 N. Third Street, Room #1, Vienna, GA 31092.

Frequently asked questions

What does the Garbage Fee Bankdraft Authorization Form do?: It authorizes the Dooly County Commissioners to initiate entries to the signer’s checking account for garbage fees and make adjustments for transactions credited in error.
What should I attach to the form?: The form instructs the signer to attach a voided check.
How do I submit the Garbage Fee Bankdraft Authorization Form?: Return the completed form with a voided check to Dooly County Commissioners, 113 N. Third Street, Room #1, Vienna, GA 31092.
Do I need a notary for the Garbage Fee Bankdraft Authorization Form?: No. The form has a signature and date line but no notary block. Attach a voided check; the signer just signs and dates the authorization.

Need something notarized?

This Garbage Fee Bankdraft Authorization Form doesn’t need a notary, but if you have another Dooly County form that does, a commissioned online notary can help.