Arnoldsville, GA · Oglethorpe County
Debit Authorization Form
Arnoldsville Water Department customers use this form to authorize monthly checking or savings account debits for their water account.
What this form is
This form authorizes the City of Arnoldsville Water Department to make a monthly charge to the customer’s checking or savings account and correct transactions credited or debited in error. It asks for financial institution and account details, the customer’s water account number, signature, and date. The form also requests a copy of a cancelled check and states that written notice is needed to cancel the authorization.
Who needs it
Arnoldsville water customers who want to authorize monthly debits from a checking or savings account use 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 it, and attaches a copy of a cancelled check.
How to submit this form
- 1
Download The Form
Download the Debit Authorization Form PDF.
- 2
Complete The Form
Enter the financial institution and account details, water account number, and the requested debit frequency.
- 3
Sign And Attach
Sign and date the form, and attach a copy of a cancelled check.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Debit Authorization Form authorize?
- It authorizes the City of Arnoldsville Water Department to charge a checking or savings account monthly and make adjustments for transactions credited or debited in error.
- What information and attachment does the form ask for?
- The form asks for financial institution and account details, a water account number, the customer’s signature and date, and a copy of a cancelled check.
- Do I need a notary for the Debit Authorization Form?
- No. The document is signed and dated without a notary. Attach a copy of a cancelled check as requested.
- How do I submit the Debit Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details.