What does the Bank Draft Discontinuation Form do?

It authorizes the City of Dublin to stop drafting payments from the checking account listed on the form for the customer’s utility bill.

What information does the form request?

It requests the customer’s name, bank and checking account information, the effective date, service address, utility account number, signature, and date.

Do I need a notary for the Bank Draft Discontinuation Form?

No. The document has no notary block; the signer just signs and dates the form.

How do I submit the Bank Draft Discontinuation Form?

The form does not provide submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Dublin, GA · Laurens County

No notary required

Bank Draft Discontinuation Form

Utility customers use this form to authorize the City of Dublin to stop automatic bank drafts for their utility bill.

What this form is

This form authorizes the City of Dublin to stop drafting utility payments from the checking account identified on the form. It asks for the customer’s name, bank, checking account number, effective date, service address, utility account number, signature, and date. The form does not state when it must be submitted.

Who needs it

A utility customer who wants the City of Dublin to stop drafting bill payments from their checking account needs 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 signer just signs and dates the form.

How to submit this form

1
Download The Form
Download the Bank Draft Discontinuation Form.
2
Complete The Form
Enter your name, bank and checking account details, effective date, service address, and utility account number.
3
Sign And Date
Sign and date the form.
4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the Bank Draft Discontinuation Form do?: It authorizes the City of Dublin to stop drafting payments from the checking account listed on the form for the customer’s utility bill.
What information does the form request?: It requests the customer’s name, bank and checking account information, the effective date, service address, utility account number, signature, and date.
Do I need a notary for the Bank Draft Discontinuation Form?: No. The document has no notary block; the signer just signs and dates the form.
How do I submit the Bank Draft Discontinuation Form?: The form does not provide submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Need something notarized?

This Bank Draft Discontinuation Form doesn’t need a notary — but if you have another Dublin form that does, a commissioned online notary can help.