Sugar Hill, GA · Gwinnett County
Automatic Payment Service Authorization Agreement
Sugar Hill natural gas utility customers use this agreement to authorize automatic payment of their bills from a bank account on the bill due date.
What this form is
This agreement enrolls a Sugar Hill natural gas utility customer in Automatic Payment Service and authorizes the city to deduct bill payments from a bank account on the bill due date. The customer provides the service address, account and contact details, signs and dates the authorization, and attaches a voided check. Continue paying bills until automatic payments begin; the form says to allow one full billing cycle.
Who needs it
A Sugar Hill natural gas utility customer who wants bills automatically paid from a bank account can complete this enrollment agreement.
How to submit it
Mail the completed form and a voided check to City of Sugar Hill, Attn: APS, 5039 West Broad Street, Sugar Hill, GA 30518. Continue paying your bill until APS starts; allow one full billing cycle.
About notarization
This agreement is signed and dated without a notary; attach a voided check, and continue paying bills until Automatic Payment Service starts.
How to submit this form
- 1
Download The Agreement
Download the Automatic Payment Service Authorization Agreement.
- 2
Complete The Form
Print the form and enter your service address, account name and number, contact phone, and bank account type.
- 3
Sign And Attach A Check
Sign and date the authorization, then attach a voided check.
- 4
Mail The Enrollment
Mail the completed form and voided check to City of Sugar Hill, Attn: APS, at the address listed on the form.
- 5
Continue Paying Your Bill
Keep paying your bill until automatic payments start; allow one full billing cycle.
Frequently asked questions
- What does the Automatic Payment Service agreement authorize?
- It authorizes the City of Sugar Hill to deduct natural gas utility bill payments from the customer's bank account on the bill due date.
- What should I include with the agreement?
- Complete and sign the agreement, then attach a voided check. The form also asks you to continue paying your bill until Automatic Payment Service has started.
- Do I need a notary for this agreement?
- No. This agreement is signed and dated without a notary. Attach a voided check, and continue paying bills until Automatic Payment Service starts.
- How do I submit the Automatic Payment Service agreement?
- Mail the completed form and voided check to City of Sugar Hill, Attn: APS, 5039 West Broad Street, Sugar Hill, GA 30518. Allow one full billing cycle for service to start.
Need something notarized?
This Automatic Payment Service Authorization Agreement doesn’t need a notary — but if you have another Sugar Hill form that does, a commissioned online notary can help.