Houston County, GA · Houston County
Bank Draft Form
Houston County Water System customers use this form to authorize monthly drafts from a bank account for their water bill.
At a glance
- Issued by
- City of Houston County · Houston County, Houston County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- houstoncountyga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form authorizes the Houston County Water System to draft the amount of a water bill from the signer’s bank account each month, starting on the date provided. Customers complete it with their account and bank details, sign and date it, and attach a voided check. The form provides the address for mailing or delivering the completed materials.
Who needs it
Houston County Water System customers who want their monthly water bill drafted from a bank account should complete and submit this form.
How to submit it
Mail or deliver the completed form and attached voided check to Houston County Water System, 200 Carl Vinson Parkway, Warner Robins, Georgia 31088.
About notarization
This form is signed and dated without a notary; attach a voided check as directed.
How to submit this form
- 1
Download the Form
Download the Houston County Water System Bank Draft Form.
- 2
Complete the Form
Enter the effective date, account and bank details, then sign and date the form.
- 3
Attach a Voided Check
Include a voided check with the completed form, as instructed.
- 4
Submit to the Water System
Mail or deliver the form and voided check to 200 Carl Vinson Parkway, Warner Robins, Georgia 31088.
Frequently asked questions
- Do I need a notary for the Bank Draft Form?
- No. Sign and date the form without a notary, and attach a voided check as directed.
- How do I submit the Bank Draft Form?
- Mail or deliver the completed form and attached voided check to Houston County Water System at 200 Carl Vinson Parkway, Warner Robins, Georgia 31088.
- What information does the Bank Draft Form request?
- It asks for the effective date, signature, account name and address, water account number, bank name and city, routing number, and bank account number.
- What attachment must accompany the form?
- The form instructs customers to attach a voided check.