How do I submit the Automatic Utility Payment Plan Agreement?

Return the completed agreement and a voided check to the City of Danielsville Water Works Department at P.O. Box 339, Danielsville, GA 30633.

What do I need to attach to the agreement?

Attach a voided check showing the bank account to use. The agreement also says to attach a list of accounts if more space is needed.

When will the utility payment be drafted?

The bank account is drafted on the due date shown on the utility bill, or on the preceding business day if the due date falls on a holiday or weekend.

Danielsville, GA · Madison County

No notary required

Automatic Utility Payment Plan Agreement

Danielsville utility customers use this agreement to authorize automatic electronic payments from a checking or savings account for their utility bills.

What this form is

This agreement authorizes the City of Danielsville Water Works Department to debit or credit a customer's bank account for utility payments. Customers complete it to enroll in the Automatic Utility Payment Plan, which drafts the monthly bill on its due date or the preceding business day if the due date falls on a holiday or weekend. It requests customer and account details, signatures, and a voided check.

Who needs it

Danielsville Water Works customers who want their utility bills paid automatically from a checking or savings account need this agreement.

How to submit it

Return the completed agreement with a voided check to City of Danielsville, Water Works Department, P.O. Box 339, Danielsville, GA 30633.

About notarization

This agreement is signed and dated without a notary; attach a voided check and a list of accounts if more space is needed.

How to submit this form

1
Download The Agreement
Download the Automatic Utility Payment Plan Agreement.
2
Complete And Sign
Provide the requested customer and account information and have all names on the bank account sign and date the agreement.
3
Attach Supporting Items
Attach a voided check and, if more space is needed, a list of accounts.
4
Submit To The City
Return the agreement and voided check to the Water Works Department at P.O. Box 339, Danielsville, GA 30633.

Frequently asked questions

Do I need a notary for the Automatic Utility Payment Plan Agreement?: No. The agreement is signed and dated without a notary; attach a voided check and a list of accounts if more space is needed.
How do I submit the Automatic Utility Payment Plan Agreement?: Return the completed agreement and a voided check to the City of Danielsville Water Works Department at P.O. Box 339, Danielsville, GA 30633.
What do I need to attach to the agreement?: Attach a voided check showing the bank account to use. The agreement also says to attach a list of accounts if more space is needed.
When will the utility payment be drafted?: The bank account is drafted on the due date shown on the utility bill, or on the preceding business day if the due date falls on a holiday or weekend.

Need something notarized?

This Automatic Utility Payment Plan Agreement doesn’t need a notary — but if you have another Danielsville form that does, a commissioned online notary can help.